Organization
MCCALL FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA COUTANT SKINNER LCSW (EXECUTIVE DIRECTOR)
(860) 496-2100
Entity
Organization
Contact information
Practice address
231 N MAIN ST, WINSTED, CT 06098-1245
(860) 496-2100
(860) 496-2111
Mailing address
PO BOX 806, TORRINGTON, CT 06790-0806
(860) 496-2100
(860) 496-2111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
C-0248
CT
251S00000X
Community/Behavioral Health Agency
MHDT-0024
CT
251S00000X
Community/Behavioral Health Agency
Primary
SA-0071
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0451
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0544
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004159556
—
CT
05
—
007228757
—
CT
Enumeration date
01/17/2007
Last updated
10/27/2016
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