Organization
CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC.
Active
Organization
CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA L WELT PSYD (ACTING CEO/CLINICAL DIRECTOR)
(203) 324-6127
Entity
Organization
Contact information
Practice address
103 W BROAD ST, STAMFORD, CT 06902-3713
(203) 324-6127
(203) 348-9378
Mailing address
103 W BROAD ST, STAMFORD, CT 06902-3713
(203) 324-6127
(203) 348-9378
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
OPCC-4
CT
Other
Enumeration date
01/03/2007
Last updated
07/11/2019
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