Andover, Hebron, Marlborough Youth & Family Services, Inc.

LBN: Andover, Hebron, Marlborough Youth & Family Services, Inc.
Andover, Hebron, Marlborough Youth & Family Services, Inc. is an health care organization with primary practice located at 25 Pendleton Dr , Hebron CT 06248-1525. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Andover, Hebron, Marlborough Youth & Family Services, Inc. can be contacted via phone (860) 228-9488, or through Ekvall, Sarah Kate via phone (860) 228-9488.

Contact Information

Primary practice address
25 Pendleton Dr Hebron CT 06248-1525
Phone: (860) 228-9488
Fax: (860) 228-1213
Website:
Map and Directions
Authorized official contact:
Name: Ekvall, Sarah Kate
Phone: (860) 228-9488

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1801050398
LBN Legal business name Andover, Hebron, Marlborough Youth & Family Services, Inc.
DBA Doing business as
Authorized official Ekvall, Sarah Kate
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2008
Last updated Jul 26th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801050398 NPPES
Connecticut MEDICAID 008064980
Connecticut MEDICAID 004258192
Connecticut MEDICAID 008014267

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