Child and Family Agency of Southeastern Connecticut, Inc.
Organization Active NPI Clinic/Center · Pawcatuck, CT
NPI 1891560587 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1891560587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
- Practice address
- 176 S Broad St # 7932
Pawcatuck, CT 06379-1924 - Phone
- (860) 437-4550
- Fax
- (860) 661-4262
- NPI assigned
- Nov 22, 2023
- Organization subpart
- No
Authorized official
- Name
- Lisa Baxter
- Title
- Cfao
- Phone
- (860) 443-2896
Corporate family (same tax ID) 36
National Provider Directory
- Tax ID family
- Child Family Agency of Sou
Locations
176 S Broad St
#7932
Pawcatuck, CT 06379
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
176 S Broad St # 7932
Pawcatuck, CT 06379-1924
Mailing address
PO Box 120
New London, CT 06320-0120
Phone (860) 437-4550
Other names
- Stonington High School
Other providers in Pawcatuck, CT
- Shanthi Cariappa
- Katherine Anne Chesson
- Child and Family Agency of Southeastern Connecticut, Inc.
- Child and Family Agency of Southeastern Connecticut, Inc.
- Child and Family Agency of Southeastern Connecticut, Inc.
- Mary Chutjian
- Clarisse D. Clemons Ferrara
- Sean Andrew Colsen
- Vickie Lou Cummings
- Dynamic Physical Therapy LLC
All providers in Pawcatuck, 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 Nov 22, 2023. 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.