Organization
NORTHWEST CENTER FOR FAMILY SERVICE AND MENTAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA R. CAMPBELL LCSW (PRESIDENT/CEO)
(860) 435-2529
Entity
Organization
Contact information
Practice address
315 MAIN ST, LAKEVILLE, CT 06039-1205
(860) 435-2529
Mailing address
315 MAIN ST, P.O. BOX 153, LAKEVILLE, CT 06039-1205
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77ABH0036CT01
CT BC CLINIC ID
CT
Enumeration date
06/04/2006
Last updated
08/22/2020
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