Organization
WAYFARING MININSTRIES INC.
Active
Other names
Futures
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER JOHNSON (ADMINISTRATOR)
(203) 248-2729
Entity
Organization
Contact information
Practice address
295 TREADWELL ST, BUILDING C, HAMDEN, CT 06514-4140
(203) 248-2729
(203) 248-4572
Mailing address
29 MARNE ST. REAR, HAMDEN, CT 06514-4140
(203) 248-2729
(203) 248-4572
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
003563
CT
251S00000X
Community/Behavioral Health Agency
Primary
003563
CT
Other
Enumeration date
03/21/2014
Last updated
10/22/2014
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