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 36 Waller St , New London CT 06320-5216. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Child And Family Agency Of Southeastern Connecticut, Inc. can be contacted via phone (860) 437-6480, or through Baxter, Lisa via phone (860) 443-2896.

Contact Information

Primary practice address
36 Waller St New London CT 06320-5216
Fax: (860) 701-3772
Website:
Authorized official contact:
Name: Baxter, Lisa

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 0138 Connecticut

Profile Details

NPI number 1962926576
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 Jul 26th, 2017
Last updated Jun 20th, 2019 - about 5 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 1962926576 NPPES
Connecticut Other 0138 DPH

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