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Organization

CLINTON HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID MELILLO (DIRECTOR OF HUMAN SERVICES)
(860) 664-1158
Entity
Organization

Contact information

Practice address
48 E MAIN ST, CLINTON, CT 06413-2035
(860) 664-1158
Mailing address
48 E MAIN ST, CLINTON, CT 06413-2035
(860) 664-1158

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104428044
NPPES
05
1437762549
CT
05
1518471325
CT
05
1679186142
CT
Enumeration date
09/01/2020
Last updated
06/12/2025
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