CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT INC. NPI 1932240504

NPI Information

NPI: 1932240504
Provider Name: CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
591 POQUONNOCK RD
GROTON, CT
ZIP 06340
Phone: (860) 449-8217
Get Directions

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. is a mental health (including community mental health center) clinic center in Groton, CT. CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. NPI is 1932240504. The provider is registered as an organization entity type.

The provider's business location address is:

591 POQUONNOCK RD
GROTON, CT
ZIP 06340-571
Phone: (860) 449-8217
Fax: (860) 449-8323

The provider's authorized official is Lisa Baxter .
The authorized official title is Chief Financial And Admin Officer and has the following contact phone number (860) 443-2896.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 6/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	007228736	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »