Organization
FAMILY AFFIRMATION CENTER FOR TREATMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KELTON LCSW (PARTNER)
(860) 896-5331
Entity
Organization
Contact information
Practice address
281 HARTFORD TPKE, SUITE 201, VERNON, CT 06066-4784
(860) 896-5331
(860) 896-5334
Mailing address
281 HARTFORD TPKE, SUITE 201, VERNON, CT 06066-4784
(860) 896-5331
(860) 896-5334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
004829
CT
1041C0700X
Clinical Social Worker
Primary
006240
CT
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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