Community Child Guidance Clinic, Inc. in Manchester - Clinic/center
Community Child Guidance Clinic, Inc. - NPI 1780730267
Community Child Guidance Clinic, Inc. is a Clinic/center in Manchester, Connecticut. Community Child Guidance Clinic, Inc. practices all healthcare services and medical treatments related to Clinic/center. 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. |
|---|---|
| Address | 317 N Main St, Manchester, Connecticut |
| Phone Number | 8606432101 |
| Fax Number | 8606451470 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Johnson Clifford |
| Credentials | LCSW |
| Telephone Number | 8606432101 |
NPI Number Detail
| NPI Number | 1780730267 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2013-05-03 |
Provider Mailing Address Detail
| Address | 317 N Main St |
|---|---|
| City | Manchester |
| State | Connecticut (CT) |
| Post Code | 60422007 |
| Phone Number | 8606432101 |
| Fax Number | 8606451470 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 238 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
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 Clinic/center, and it falls under the taxonomy code 261Q00000X, 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.