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Organization
NEWTOWN YOUTH AND FAMILY SERVICES, INC.
Active
Organization
NEWTOWN YOUTH AND FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE FOSTER (EXECUTIVE DIRECTOR)
(203) 426-8103
Entity
Organization
Contact information
Practice address
15 BERKSHIRE RD., NEWTOWN YOUTH AND FAMILY SERVICES, SANDY HOOK, CT 06482
(203) 426-8103
(203) 270-4338
Mailing address
15 BERKSHIRE RD., NEWTOWN YOUTH AND FAMILY SERVICES, SANDY HOOK, CT 06482
(203) 426-8103
(203) 270-4338
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C-0254
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
OPCC-27
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00412586200
—
CT
01
—
248294
MHN
CT
01
—
77ABH0020CT01
ANTHEM BEHAVIORAL HEALTH
CT
01
—
ANC1319
OXFORD PROVIDER PIN
CT
Enumeration date
10/11/2006
Last updated
12/07/2018
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