Organization
WATERFORD COUNTRY SCHOOL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MARTIN (EXECUTIVE DIRECTOR)
(860) 442-9454
Entity
Organization
Contact information
Practice address
78 HUNTS BROOK RD, QUAKER HILL, CT 06375-1009
(860) 442-9454
(860) 440-4340
Mailing address
78 HUNTS BROOK RD, QUAKER HILL, CT 06375-1009
(860) 442-9454
(860) 440-4340
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
OPCC-50
CT
323P00000X
Psychiatric Residential Treatment Facility
Primary
CCF/RT#12
CT
Other
Enumeration date
07/11/2007
Last updated
02/28/2017
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