| Mccall Foundation, Inc | |
|
83 S Canaan Rd Canaan CT 06018-2502 | |
| (860) 496-2100 | |
| (860) 496-2111 |
| Full Name | Mccall Foundation, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 83 S Canaan Rd, Canaan, Connecticut |
| Authorized Official Name and Position | Maria Coutant Skinner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8604962100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccall Foundation, Inc 58 High St Torrington CT 06790-5106 Ph: (860) 496-2100 | Mccall Foundation, Inc 83 S Canaan Rd Canaan CT 06018-2502 Ph: (860) 496-2100 |
| NPI Number | 1609320977 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 10/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609320977 | NPI | - | NPPES |
| 004159556 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0511 (Connecticut) | Primary |
Kelly Tarascio Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 72 N Elm St Apt 2b, Canaan, CT 06018 Phone: 203-558-0056 | |
Janet Downes Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 194 Ashley Falls Rd, Canaan, CT 06018 Phone: 860-488-4167 Fax: 860-927-0067 | |
Evolving Tree Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Main St Ste 200, Canaan, CT 06018 Phone: 203-947-3764 |