Organization
CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BAXTER (CHIEF FINANCIAL AND ADMIN OFFICER)
(860) 443-2896
Entity
Organization
Contact information
Practice address
500 POQUONNOCK RD, GROTON, CT 06340-4568
(860) 445-2191
(860) 449-1869
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500000340
—
CT
Enumeration date
01/29/2008
Last updated
06/20/2019
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