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Organization
NORTHWEST CENTER FOR FAMILY SERVICE AND MENTAL HEALTH, INC.
Active
Organization
NORTHWEST CENTER FOR FAMILY SERVICE AND MENTAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA R. CAMPBELL LCSW (PRESIDENT/CEO)
(860) 435-2529
Entity
Organization
Contact information
Practice address
315 MAIN ST, LAKEVILLE, CT 06039-1205
(860) 435-2529
Mailing address
315 MAIN ST, P.O. BOX 153, LAKEVILLE, CT 06039-1205
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77ABH0036CT01
CT BC CLINIC ID
CT
Enumeration date
06/04/2006
Last updated
08/22/2020
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