| Boost Child And Family Services | |
|
19 S Compo Rd Westport CT 06880-4319 | |
| (203) 557-8444 | |
| Not Available |
| Full Name | Boost Child And Family Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19 S Compo Rd, Westport, Connecticut |
| Authorized Official Name and Position | Sue Beth Sirlin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2038563372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boost Child And Family Services 19 South Compo Road Westport CT 06880-1522 Ph: (203) 557-8444 | Boost Child And Family Services 19 S Compo Rd Westport CT 06880-4319 Ph: (203) 557-8444 |
| NPI Number | 1720539869 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720539869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 000573 (Connecticut) | Primary |
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