Organization
THE CHILDREN'S CENTER OF HAMDEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH ELIZABETH LOCKERY LMFT (ADMINISTRATOR)
(203) 248-2116
Entity
Organization
Contact information
Practice address
1400 WHITNEY AVE, HAMDEN, CT 06517-2426
(203) 248-2116
(203) 287-9815
Mailing address
1400 WHITNEY AVE, HAMDEN, CT 06517-2426
(203) 248-2116
(203) 287-9815
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
EDT-1
CT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
OPCC-51
CT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
SA-0093
CT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CCF/RT-2
CT
323P00000X
Psychiatric Residential Treatment Facility
CCF/RT-73
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040846
—
CT
05
—
004254166
—
CT
Enumeration date
07/29/2006
Last updated
10/23/2014
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