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Organization

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.

Active
Other names
The Community Bridge Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
LISA BAXTER (CFO)
(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 06320-6290
(860) 443-2896
(860) 442-5909

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1138
DPH
CT
Enumeration date
12/10/2021
Last updated
12/10/2021
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