| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
1 Bulkeley Pl New London CT 06320-6206 | |
| (860) 437-7775 | |
| (860) 447-2788 |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Bulkeley Pl, 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 06320-6204 Ph: () - | Child And Family Agency Of Southeastern Connecticut, Inc. 1 Bulkeley Pl New London CT 06320-6206 Ph: (860) 437-7775 |
| NPI Number | 1669496048 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669496048 | NPI | - | NPPES |
| 004149820 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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