Organization
FAMILY SERVICES OF CENTRAL CT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MURADIAN DOA (EXECUTIVE DIRECTOR)
(860) 826-1358
Entity
Organization
Contact information
Practice address
92 VINE ST, NEW BRITAIN, CT 06052-1433
(860) 223-9291
(860) 223-3111
Mailing address
92 VINE ST, NEW BRITAIN, CT 06052-1433
(860) 223-9291
(860) 223-3111
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269952
MANAGED HEALTH NETWORK
CT
01
—
77ABH0021CT01
ANTHEM
CT
01
—
ANC1482
OXFORD HEALTH PLANS
CT
01
—
CTGA000438
CT GENERAL ASSISTANCE
CT
Enumeration date
05/26/2006
Last updated
08/22/2020
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