| Westbrook Youth & Family Services, Inc | |
|
1163 Boston Post Rd Westbrook CT 06498-0918 | |
| (860) 399-9239 | |
| (860) 399-7529 |
| Full Name | Westbrook Youth & Family Services, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1163 Boston Post Rd, Westbrook, Connecticut |
| Authorized Official Name and Position | Sara G Zaientz (DIRECTOR) |
| Authorized Official Contact | 8603999239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westbrook Youth & Family Services, Inc Po Box 918 Westbrook CT 06498-0918 Ph: (860) 399-9239 | Westbrook Youth & Family Services, Inc 1163 Boston Post Rd Westbrook CT 06498-0918 Ph: (860) 399-9239 |
| NPI Number | 1437468386 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Medicare PECOS PAC ID | 4385041656 |
|---|---|
| Medicare Enrollment ID | O20210929001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437468386 | NPI | - | NPPES |
| Provider Name | Vito Iallonardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225273451 PECOS PAC ID: 0749403624 Enrollment ID: I20140521002032 |
| Provider Name | Sara G Zaientz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326009127 PECOS PAC ID: 8820495195 Enrollment ID: I20210929002399 |
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