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
7 VAUXHALL ST, NEW LONDON, CT 06320-5711
(860) 442-2797
(860) 701-3776
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
(860) 443-2896
(860) 442-5909
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0586
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008062936
—
CT
Enumeration date
01/05/2016
Last updated
06/20/2019
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