| Organization Name: | FAMILY SERVICES OF GREATER WATERBURY |
| NPI Number: | 1003987561 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA J PORTEUS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 16 Hillside Ave Naugatuck |
| State: | CT US |
| Postal Code: | 067704019 |
| Phone Number: | 2037205060 |
| Fax Number: | 2037205061 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 0406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |