Stafford Family Services | |
21 Hyde Park Rd Stafford Springs CT 06076-1507 | |
(860) 684-4239 | |
(860) 684-0511 |
Full Name | Stafford Family Services |
---|---|
Speciality | Community/behavioral Health |
Location | 21 Hyde Park Rd, Stafford Springs, Connecticut |
Authorized Official Name and Position | Judy Gardner (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8606844239 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stafford Family Services 21 Hyde Park Road Stafford Springs CT 06076-1507 Ph: (860) 684-4239 | Stafford Family Services 21 Hyde Park Rd Stafford Springs CT 06076-1507 Ph: (860) 684-4239 |
NPI Number | 1073971081 |
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Provider Enumeration Date | 02/04/2016 |
Last Update Date | 02/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073971081 | NPI | - | NPPES |
008032687 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | OPCC 77 (Connecticut) | Primary |
251S00000X | Community/behavioral Health | 0605 (Connecticut) | Secondary |
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