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Organization
CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Active
Organization
CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BAXTER (CHIEF FINANCIAL AND ADMIN OFFICER)
(860) 443-2896
Entity
Organization
Contact information
Practice address
7 VAUXHALL ST, NEW LONDON, CT 06320-5711
(860) 442-2797
(860) 701-3776
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
(860) 443-2896
(860) 442-5909
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0586
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008062936
—
CT
Enumeration date
01/05/2016
Last updated
06/20/2019
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