Organization
FAMILY RESOURCE ASSOCIATES LLC
Active
Other names
Single Person LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN E MYERS LCSW (EXECUTIVE DIRECTOR)
(203) 378-4514
Entity
Organization
Contact information
Practice address
3300 MAIN ST, STRATFORD, CT 06614
(203) 378-4514
(203) 378-0443
Mailing address
3300 MAIN ST, STRATFORD, CT 06614
(203) 378-4514
(203) 378-0443
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
C-0209
CT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0309
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004125961
—
CT
Enumeration date
11/06/2006
Last updated
06/26/2024
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