Organization
MID-FAIRFIELD CHILD GUIDANCE CENTER
Active
Other names
Child Guidance Center of Mid-Fairfield Center
Organization subpart
No
Provider details
NPI number
Authorized official
STUART GREENBAUM (EXECUTIVE DIRECTOR)
(203) 299-1315
Entity
Organization
Contact information
Practice address
100 EAST AVE, NORWALK, CT 06851-5010
(203) 299-1315
Mailing address
100 EAST AVE, NORWALK, CT 06851-5010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
EDT-14
CT
251S00000X
Community/Behavioral Health Agency
Primary
OPCC-3
CT
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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