Child And Family Agency Of Southeastern Connecticut, Inc.

LBN: Child And Family Agency Of Southeastern Connecticut, Inc.
Child And Family Agency Of Southeastern Connecticut, Inc. is an health care organization with primary practice located at 250 Brandegee Ave , Groton CT 06340-5108. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Child And Family Agency Of Southeastern Connecticut, Inc. can be contacted via phone (860) 446-1775, or through Baxter, Lisa via phone (860) 443-2896.

Contact Information

Primary practice address
250 Brandegee Ave Groton CT 06340-5108
Phone: (860) 446-1775
Fax: (860) 446-2513
Website:
Map and Directions
Authorized official contact:
Name: Baxter, Lisa
Phone: (860) 443-2896

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1548284946
LBN Legal business name Child And Family Agency Of Southeastern Connecticut, Inc.
DBA Doing business as
Authorized official Baxter, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 20th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548284946 NPPES
Connecticut MEDICAID 004149838

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