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Organization
CT- FAMILY CARE SERVICES, LLC
Active
Organization
CT- FAMILY CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTINIAN B RWEYEMAMU MA, M.DIV, MS-MFT, (PRESIDENT & CEO)
(860) 508-8651
Entity
Organization
Contact information
Practice address
155 MAPLE ST, UNIT 207-208, SPRINGFIELD, MA 01105-2649
(413) 285-8722
(413) 285-8642
Mailing address
155 MAPLE ST, UNIT 207-208, SPRINGFIELD, MA 01105-2649
(413) 285-8722
(413) 285-8642
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
11/28/2012
Last updated
01/16/2024
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