Organization
CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRISTIANO SANTOSTEFANO (PSYCHOLOGY INTERN)
(203) 517-3324
Entity
Organization
Contact information
Practice address
103 W BROAD ST, STAMFORD, CT 06902-3713
(203) 517-3324
Mailing address
103 W BROAD ST, STAMFORD, CT 06902-3713
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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