Organization
COMMUNITY MATTERS OUTPATIENT PSYCHIATRIC CLINIC FOR CHILDREN, INC.
Active
Organization
COMMUNITY MATTERS OUTPATIENT PSYCHIATRIC CLINIC FOR CHILDREN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANGIE R MCDOUGALD LPC (LICENSED PROFESSIONAL COUNSELOR)
(860) 282-8882
Entity
Organization
Contact information
Practice address
531 MAIN ST, EAST HARTFORD, CT 06108-3305
(860) 282-8882
(860) 282-8890
Mailing address
122 HARBISON AVE, HARTFORD, CT 06106-3013
(860) 282-8882
(860) 282-8890
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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