# WATERFORD COUNTRY SCHOOL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710185731
- **Authorized official:** MR. WILLIAM MARTIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (860) 442-9454

## Contact information

- **Practice address:** 78 HUNTS BROOK RD, QUAKER HILL, CT 06375-1009
- **Practice address phone:** (860) 442-9454
- **Practice address fax:** (860) 440-4340
- **Mailing address:** 78 HUNTS BROOK RD, QUAKER HILL, CT 06375-1009
- **Mailing address phone:** (860) 442-9454
- **Mailing address fax:** (860) 440-4340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | OPCC-50 | CT | — |
| 323P00000X | Psychiatric Residential Treatment Facility | CCF/RT\#12 | CT | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 02/28/2017