| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
40 Field St Pawcatuck CT 06379-2186 | |
| (860) 599-1603 | |
| (860) 599-1604 |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 40 Field St, Pawcatuck, Connecticut |
| Authorized Official Name and Position | Lisa Baxter (CHIEF FINANCIAL AND ADMIN OFFICER) |
| Authorized Official Contact | 8604432896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Agency Of Southeastern Connecticut, Inc. 255 Hempstead St New London CT 06320-6204 Ph: (860) 443-2896 | Child And Family Agency Of Southeastern Connecticut, Inc. 40 Field St Pawcatuck CT 06379-2186 Ph: (860) 599-1603 |
| NPI Number | 1053652651 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053652651 | NPI | - | NPPES |
| 008043737 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0685 (Connecticut) | Primary |
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