NPI 1063782662

Community Residences INC.

Organisation Adolescent and Children Mental Health Clinic/Center Newington, CT

Practice location

Address: 205 Kelsey St Unit 12, Newington, CT 06111-5436
Phone: (860) 878-6858
Fax: (860) 665-9679
Mailing address: 732 West St, Southington, CT 06489-2329

Authorised official

Name: Amy Maguda
Title: Community Based Svcs Coordinator
Phone: (860) 878-6858

Registered specialties (3)

Adolescent and Children Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0855X Licence OPCC68 (CT)

Other Clinic/Center providers in Connecticut →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence 0520 (CT)

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 0432 (CT)

Registry record

NPI: 1063782662
Entity type: Organization
NPI issued: 12 Jan 2012
Record last updated: 18 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.