Organization
GOLD COAST CHILDREN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA CORDIER PH.D., BCBA-D (CO-DIRECTOR)
(203) 883-8827
Entity
Organization
Contact information
Practice address
972 POST RD, 3RD FLOOR, DARIEN, CT 06820-4525
(203) 883-8827
Mailing address
972 POST RD, 3RD FLOOR, DARIEN, CT 06820-4525
(203) 883-8827
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
000323
NY
251S00000X
Community/Behavioral Health Agency
Primary
000411
NY
Other
Enumeration date
01/29/2016
Last updated
03/21/2017
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