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Organization
FAMILY SERVICES OF CENTRAL CT, INC.
Active
Organization
FAMILY SERVICES OF CENTRAL CT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MURADIAN DPA (EXECUTIVE DIRECTOR)
(860) 826-1358
Entity
Organization
Contact information
Practice address
58 MAIN ST, TERRYVILLE, CT 06786-5106
(860) 589-6333
(860) 589-7934
Mailing address
92 VINE ST, NEW BRITAIN, CT 06052-1433
(860) 223-9291
(860) 223-3111
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C-0285
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77ABH0021CT01
ANTHEM
CT
01
—
ANC1482
OXFORD HEALTH PLANS
CT
01
—
CTGA000438 B001124
CTGA
CT
Enumeration date
10/04/2006
Last updated
08/22/2020
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