Organization
CONNECTICUT CHILDREN AND FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY CONAWAY LCSW (CEO)
(203) 772-4228
Entity
Organization
Contact information
Practice address
230 ASHMUN ST, NEW HAVEN, CT 06511-3574
(203) 772-4228
(203) 776-1982
Mailing address
230 ASHMUN ST, NEW HAVEN, CT 06511-3574
(203) 772-4228
(203) 776-1982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
005736
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004257235
—
CT
Enumeration date
10/24/2008
Last updated
10/24/2008
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