Organization
CONNECTICUT COUNSELING CENTERS INC
Active
Parent organization
CONNECTICUT COUNSELING CENTERS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTICUT COUNSELING CENTERS INC
Authorized official
JASON BRADWAY (DIRECTOR INFORMATION SYSTEMS)
(203) 568-7466
Entity
Organization
Contact information
Practice address
290 PRATT ST STE 2312, MERIDEN, CT 06450-8600
(203) 317-2500
(203) 317-2525
Mailing address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402
(203) 568-7466
(203) 568-7468
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0353
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0353
DEPARTMENT PUBLIC HEALTH
CT
Enumeration date
08/31/2018
Last updated
08/31/2018
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