Community Child Guidance Clinic, Inc. in Manchester - Adolescent And Children Mental Health
Community Child Guidance Clinic, Inc. - NPI 1780730267
Community Child Guidance Clinic, Inc. is a Adolescent And Children Mental Health in Manchester, Connecticut. Community Child Guidance Clinic, Inc. practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Community Child Guidance Clinic, Inc. is 1780730267. The last update date is 2013-05-03.
Community Child Guidance Clinic, Inc.'s current location address is 317 N Main St, Manchester, Connecticut. You can contact this provider via phone number 8606432101 and fax number 8606451470. The mailing address for Community Child Guidance Clinic, Inc. is 317 N Main St, Manchester, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Community Child Guidance Clinic, Inc. |
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Address | 317 N Main St, Manchester, Connecticut |
Phone Number | 8606432101 |
Fax Number | 8606451470 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Johnson Clifford |
Credentials | LCSW |
Telephone Number | 8606432101 |
NPI Number Detail
NPI Number | 1780730267 |
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Provider Enumeration Date | 2007-01-26 |
Last Updated Date | 2013-05-03 |
Provider Mailing Address Detail
Address | 317 N Main St |
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City | Manchester |
State | Connecticut (CT) |
Post Code | 60422007 |
Phone Number | 8606432101 |
Fax Number | 8606451470 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent And Children Mental Health |
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Taxonomy | 261Qm0855X |
Licence No | OPCC-14 |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4039277 | CT | -- |
Post Comment/ Review Below
What is the Community Child Guidance Clinic, Inc.'s unique identification number?
The Community Child Guidance Clinic, Inc. has been assigned the NPI (National Provider Identifier) Number 1780730267 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Community Child Guidance Clinic, Inc. is physically located?
The Community Child Guidance Clinic, Inc. is physically situated at the following address: 317 N Main St, Manchester, CT, 60422007.
What is Community Child Guidance Clinic, Inc.'s area of expertise and its corresponding taxonomy classification?
The Community Child Guidance Clinic, Inc.'s field of specialization is Adolescent And Children Mental Health, and it falls under the taxonomy code 261Qm0855X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780730267 to Community Child Guidance Clinic, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1780730267 to Community Child Guidance Clinic, Inc. on 2007-01-26.
As of what date were the details pertaining to Community Child Guidance Clinic, Inc. last refreshed?
The information related to the Community Child Guidance Clinic, Inc., including its address, specialty, and other relevant details, was last updated on 2013-05-03.