# CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.

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

## Provider details

- **NPI number:** 1780108399
- **Authorized official:** LISA BAXTER (CHIEF FINANCIAL AND ADMIN OFFICER)
- **Authorized official phone:** (860) 443-2896

## Contact information

- **Practice address:** 490 JEFFERSON AVE, NEW LONDON, CT 06320-2525
- **Practice address phone:** (860) 437-6400
- **Practice address fax:** (860) 701-3771
- **Mailing address:** 255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
- **Mailing address phone:** (860) 443-2896
- **Mailing address fax:** (860) 443-2896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/26/2017
- **Last updated:** 06/20/2019