# TOWN OF STRATFORD HEALTH DEPT.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wooster School Based Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114074606
- **Authorized official:** GRETA BRONEILL MPH (PROJECT COORDINATOR)
- **Authorized official phone:** (203) 381-6922

## Contact information

- **Practice address:** 150 LINCOLN ST, STRATFORD, CT 06614-4000
- **Practice address phone:** (203) 381-6922
- **Practice address fax:** (203) 381-6923
- **Mailing address:** 150 LINCOLN ST, STRATFORD, CT 06614-4000
- **Mailing address phone:** (203) 381-6922
- **Mailing address fax:** (203) 381-6923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | 0252 | CT | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 01/08/2014