| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
490 Jefferson Ave New London CT 06320-2525 | |
| (860) 437-6400 | |
| (860) 701-3771 |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 490 Jefferson Ave, New London, 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 Ph: () - | Child And Family Agency Of Southeastern Connecticut, Inc. 490 Jefferson Ave New London CT 06320-2525 Ph: (860) 437-6400 |
| NPI Number | 1053325092 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053325092 | NPI | - | NPPES |
| 004149789 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Beech Dr, New London, CT 06320 Phone: 860-447-6060 Fax: 860-701-3770 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Shaw St, New London, CT 06320 Phone: 860-442-1798 | |
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Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776 | |
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