CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. - NPI 1932240504

Q: What is Child And Family Agency Of Southeastern Connecticut, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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About Child And Family Agency Of Southeastern Connecticut, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. (NPI 1932240504) is a healthcare organization registered as a mental health (including community mental health center) in Groton, Connecticut and active in the NPI registry since February 2007. The organization lists Lisa Baxter, Chief Financial And Admin Officer, as its authorized official.

NPPES Registry Identity

NPI1932240504

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.

Location Address591 POQUONNOCK RDGroton, CT 06340-4571

Mailing Address255 Hempstead StNew London, CT 06320-6204

Phone(860) 449-8217

Fax(860) 449-8323

Organization SubpartNo

Authorized OfficialLisa BaxterChief Financial And Admin Officer · (860) 443-2896

Enumeration DateFebruary 8, 2007

Last NPPES UpdateJune 20, 20193 updates tracked since enumeration

✔ NPI 1932240504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

591 POQUONNOCK RD, Groton, CT 06340

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Other Identifiers 1

Medicaid007228736CT

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHEILA LORA BA, BS

Marriage & Family Therapist