| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
160 Fishtown Rd Mystic CT 06355-2012 | |
| (860) 572-4448 | |
| (860) 572-4414 |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 160 Fishtown Rd, Mystic, 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: (860) 443-2896 | Child And Family Agency Of Southeastern Connecticut, Inc. 160 Fishtown Rd Mystic CT 06355-2012 Ph: (860) 572-4448 |
| NPI Number | 1962750539 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962750539 | NPI | - | NPPES |
| 008042282 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Main Medical-mystic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Clara Dr, Suite 201, Mystic, CT 06355 Phone: 860-536-1666 Fax: 860-536-9770 | |
David Schwindt Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23 Clara Drive, Suite 204, Mystic, CT 06355 Phone: 860-572-0010 Fax: 860-536-2799 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Fishtown Rd, Mystic, CT 06355 Phone: 860-980-8330 Fax: 860-980-8330 | |
Mystic Geriatrics, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 860-536-5302 Fax: 860-536-5302 | |
Primary Care Of Mystic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E Main St, Mystic, CT 06355 Phone: 860-572-2988 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Mistuxet Ave, Mystic, CT 06355 Phone: 860-536-8613 | |
Child And Family Agency Of Southeastern Connecticut Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Oslo St, Mystic, CT 06355 Phone: 860-437-4550 Fax: 860-661-4262 |