Child and Family Agency of Southeastern Connecticut, Inc.
Organization Active NPI Clinic/Center · New London, CT
NPI 1013921048 · NPPES record last updated Jun 20, 2019
Key facts
- NPI
- 1013921048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
- Practice address
- 37 Beech Dr
New London, CT 06320-3003 - Phone
- (860) 447-6060
- Fax
- (860) 701-3770
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Lisa Baxter
- Title
- Chief Financial and Admin Officer
- Phone
- (860) 443-2896
Corporate family (same tax ID) 36
National Provider Directory
- Tax ID family
- Child Family Agency of Sou
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHHGBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
37 Beech Dr
New London, CT 06320-3003
Mailing address
255 Hempstead St
New London, CT 06320-6204
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004149747 | Medicaid | CT |
Other providers in New London, CT
- Julia Chase Brand
- Amy S Cheesman
- Matthew Cheetham
- Meggy Chen
- Michael Chianuri
- Child and Family Agency of Southeastern Connecticut, Inc.
- Child and Family Agency of Southeastern Connecticut, Inc.
- Child and Family Agency of Southeastern Connecticut, Inc.
- Child and Family Agency of Southeastern Connecticut, Inc.
- Child and Family Agency of Southeastern Connecticut, Inc.
All providers in New London, CT · Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.