Organization
GROVE SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY M MCMAHON (BUSINESS MANAGER)
(203) 245-2778
Entity
Organization
Contact information
Practice address
175 COPSE RD, MADISON, CT 06443-2323
(203) 245-2778
(203) 245-6098
Mailing address
175 COPSE RD, MADISON, CT 06443-2323
(203) 245-2778
(203) 245-6098
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CCF/RE-4
CT
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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