Organization
CLIFFORD BEERS CHILD GUIDANCE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDA MENDIETA (CLINICIAN)
(203) 772-1270
Entity
Organization
Contact information
Practice address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
Mailing address
93 EDWARDS ST, NEW HAVEN, CT 06511-3933
(203) 772-1270
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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