Amity Counseling and Attachment Center, LLC

Organization Active NPI Exclusive Provider Organization · Woodbridge, CT

NPI 1760709802 · NPPES record last updated Apr 29, 2010

Key facts

NPI
1760709802
Entity type
Organization (NPI type 2)
Primary specialty
Exclusive Provider Organization 302F00000X
License
001848 (CT)
Legal business name
AMITY COUNSELING AND ATTACHMENT CENTER, LLC
Practice address
214 Amity Rd
Suite C
Woodbridge, CT 06525-2241
Phone
(203) 230-0886
NPI assigned
Apr 29, 2010
Organization subpart
No

Authorized official

Name
Ms. Diane Swift, LPC
Title
Owner
Phone
(203) 230-0886

National Provider Directory

Locations

214 Amity Rd
Ste C
Woodbridge, CT 06525
Phone (203) 230-0886

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 001848 CT Yes

Addresses

Primary practice location

214 Amity Rd
Suite C
Woodbridge, CT 06525-2241

Mailing address

20 Homestead Ave
Hamden, CT 06514-3505
Phone (203) 230-0886

Other providers in Woodbridge, CT

All providers in Woodbridge, CT · Exclusive Provider Organization in Connecticut

Sources for this page

Verify at the official NPI Registry.