NPI 1760709802

Amity Counseling and Attachment Center, LLC

Organisation Exclusive Provider Organization Woodbridge, CT

Practice location

Address: 214 Amity Rd Suite C, Woodbridge, CT 06525-2241
Phone: (203) 230-0886
Mailing address: 20 Homestead Ave, Hamden, CT 06514-3505

Authorised official

Name: Diane Swift
Title: Owner
Phone: (203) 230-0886

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 001848 (CT)

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Registry record

NPI: 1760709802
Entity type: Organization
NPI issued: 29 Apr 2010
Record last updated: 29 Apr 2010

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.