| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
250 Brandegee Ave Groton CT 06340-5108 | |
| (860) 446-1775 | |
| (860) 446-2513 |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 250 Brandegee Ave, Groton, Connecticut |
| Authorized Official Name and Position | Lisa Baxter (CHIEF FINANCIAL AND ADMIN OFFICER) |
| Authorized Official Contact | 8604432896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Agency Of Southeastern Connecticut, Inc. 255 Hempstead St New London CT 06320-6204 Ph: () - | Child And Family Agency Of Southeastern Connecticut, Inc. 250 Brandegee Ave Groton CT 06340-5108 Ph: (860) 446-1775 |
| NPI Number | 1548284946 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548284946 | NPI | - | NPPES |
| 004149838 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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