Organization
CHARTER OAK FAMILY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R MACHATTIE LCSW (CEO)
(860) 643-8870
Entity
Organization
Contact information
Practice address
843 MAIN ST STE 11, MANCHESTER, CT 06040-6041
(860) 643-8870
Mailing address
843 MAIN ST STE 11, MANCHESTER, CT 06040-6041
(860) 643-8870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/07/2019
Last updated
08/29/2023
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