CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT INC. NPI 1679614242

NPI Information

  • NPI: 1679614242
  • Provider Name: CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 75 GRANITE ST
    NEW LONDON, CT
    ZIP 06320
  • Phone: (860) 437-4550

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NPI Details

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. is a mental health (including community mental health center) clinic center in New London, CT. CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. NPI is 1679614242. The provider is registered as an organization entity type.

The provider's business location address is:

75 GRANITE ST
NEW LONDON, CT
ZIP 06320-730
Phone: (860) 437-4550
Fax: (860) 437-4552

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
1261QM0801XClinic/CenterMental 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
1004083309MEDICAIDCONNECTICUT

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: 3/30/2025

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