Organization
CONNECTICUT COUNSELING CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BRADWAY (DIRECTOR OF INFORMATION SYSTEMS)
(203) 568-7466
Entity
Organization
Contact information
Practice address
285 KENSINGTON AVE, MERIDEN, CT 06451-2017
(203) 608-0205
(203) 608-0210
Mailing address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402
(203) 568-7466
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630
DEPARTMENT OF PUBLIC HEALTH
CT
01
—
754
DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
05/24/2021
Last updated
05/24/2021
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