Child And Family Agency Of Southeastern Connecticut, Inc.

LBN: Child And Family Agency Of Southeastern Connecticut, Inc.
Child And Family Agency Of Southeastern Connecticut, Inc. is an health care organization with primary practice located at 591 Poquonnock Rd , Groton CT 06340-4571. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Child And Family Agency Of Southeastern Connecticut, Inc. can be contacted via phone (860) 449-8217, or through Baxter, Lisa via phone (860) 443-2896.

Contact Information

Primary practice address
591 Poquonnock Rd Groton CT 06340-4571
Phone: (860) 449-8217
Fax: (860) 449-8323
Website:
Map and Directions
Authorized official contact:
Name: Baxter, Lisa
Phone: (860) 443-2896

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1932240504
LBN Legal business name Child And Family Agency Of Southeastern Connecticut, Inc.
DBA Doing business as
Authorized official Baxter, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Jun 20th, 2019 - about 6 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 1932240504 NPPES
Connecticut MEDICAID 007228736

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