Family Intervention Center, Inc
LBN: Family Intervention Center, Inc
Family Intervention Center, Inc is an health care organization with primary practice located at 22 Chase River Rd , Waterbury CT 06704-1408. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Family Intervention Center, Inc can be contacted via phone (203) 753-2153, or through Futschik, Joseph E. via phone (203) 753-2153.
Contact Information
Primary practice address
22 Chase River Rd
Waterbury CT 06704-1408
Phone: (203) 753-2153
Fax: (203) 756-6032
Website:
Authorized official contact:
Name: Futschik, Joseph E. Licensed Clinical Social Worker (LCSW)
Phone: (203) 753-2153
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0390 | Connecticut |
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 0390 | Connecticut |
Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 0471 | Connecticut |
Profile Details
NPI number | 1598764474 |
---|---|
LBN Legal business name | Family Intervention Center, Inc |
DBA Doing business as | |
Authorized official | Futschik, Joseph E. Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 21st, 2005 |
Last updated | Oct 2nd, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598764474 | NPPES |
Connecticut | Other | 140001006CT01 | ANTHEM |
Connecticut | MEDICAID | 004065439 | ANTHEM |
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