NPI 1801086830

Grove School

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Madison, CT

Practice location

Address: 175 Copse Rd, Madison, CT 06443-2323
Phone: (203) 245-2778
Fax: (203) 245-6098

Authorised official

Name: Kathy M McMahon
Title: Business Manager
Phone: (203) 245-2778

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence CCF/RE-4 (CT)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Connecticut →

Registry record

NPI: 1801086830
Entity type: Organization
NPI issued: 26 Jul 2007
Record last updated: 26 Jul 2007

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.