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Organization
MCCALL FOUNDATION, INC
Active
Organization
MCCALL FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA COUTANT SKINNER LCSW (EXECUTIVE DIRECTOR)
(860) 496-2100
Entity
Organization
Contact information
Practice address
83 S CANAAN RD, CANAAN, CT 06018-2502
(860) 496-2100
(860) 496-2111
Mailing address
58 HIGH ST, TORRINGTON, CT 06790-5106
(860) 496-2100
(860) 496-2111
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0511
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004159556
—
CT
Enumeration date
08/04/2016
Last updated
10/27/2016
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