CT- FAMILY CARE SERVICES LLC NPI 1174868442

NPI Information

NPI: 1174868442
Provider Name: CT- FAMILY CARE SERVICES, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 22D2172661

Address:
155 MAPLE ST
UNIT 207-208
SPRINGFIELD, MA
ZIP 01105
Phone: (413) 285-8722
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CT- FAMILY CARE SERVICES, LLC is a mental health (including community mental health center) clinic center in Springfield, MA. CT- FAMILY CARE SERVICES, LLC NPI is 1174868442. The provider is registered as an organization entity type.

The provider's business location address is:

155 MAPLE ST
UNIT 207-208
SPRINGFIELD, MA
ZIP 01105-649
Phone: (413) 285-8722
Fax: (413) 285-8642

The provider's authorized official is Justinian B Rweyemamu .
The authorized official title is President & Ceo and has the following contact phone number (860) 508-8651.

The CLIA number assigned to this NPI record is 22D2172661 - other - outpatient primary care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 1/16/2024.

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	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QR1100X	Clinic/Center	Research	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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: 4/28/2024

NPI Synchronization or Removal

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