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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
75 GRANITE ST, NEW LONDON, CT 06320-5730
(860) 437-4550
(860) 437-4552
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
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
05
—
004083309
—
CT
Enumeration date
02/08/2007
Last updated
06/20/2019
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