| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
500 Poquonnock Rd Groton CT 06340-4568 | |
| (860) 445-2191 | |
| (860) 449-1869 |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 500 Poquonnock Rd, Groton, Connecticut |
| Authorized Official Name and Position | Lisa Baxter (CHIEF FINANCIAL AND ADMIN OFFICER) |
| Authorized Official Contact | 8604432896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Agency Of Southeastern Connecticut, Inc. 255 Hempstead St New London CT 06320-6204 Ph: () - | Child And Family Agency Of Southeastern Connecticut, Inc. 500 Poquonnock Rd Groton CT 06340-4568 Ph: (860) 445-2191 |
| NPI Number | 1881871168 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881871168 | NPI | - | NPPES |
| 500000340 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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