Organization
FAMILY SERVICES OF GREATER WATERBURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA PORTEUS LCSW (EXECUTIVE DIRECTOR)
(203) 756-8317
Entity
Organization
Contact information
Practice address
35 PARK PLACE, WATERBURY, CT 06702-1215
(203) 756-4639
Mailing address
34 MURRAY ST, WATERBURY, CT 06710-1920
(203) 756-8317
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0595
CT
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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