| Madison Youth And Family Services | |
|
10 School St Madison CT 06443-3033 | |
| (203) 245-5645 | |
| Not Available |
| Full Name | Madison Youth And Family Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10 School St, Madison, Connecticut |
| Authorized Official Name and Position | David Melillo (DIRECTOR) |
| Authorized Official Contact | 2032455645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Youth And Family Services 10 School St Madison CT 06443-3033 Ph: (203) 245-5645 | Madison Youth And Family Services 10 School St Madison CT 06443-3033 Ph: (203) 245-5645 |
| NPI Number | 1063605046 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 07/10/2008 |
| Medicare PECOS PAC ID | 6901158336 |
|---|---|
| Medicare Enrollment ID | O20181011002435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063605046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Erin M Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548490758 PECOS PAC ID: 6204158926 Enrollment ID: I20141209001210 |
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