| Organization Name: | FAMILY SERVICES OF CENTRAL CONNECTICUT, INC. |
| NPI Number: | 1033206511 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK MURADIAN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 47 Clapboard Hill Rd Sachem Knoll Professional Center Guilford |
| State: | CT US |
| Postal Code: | 064372200 |
| Phone Number: | 2034532925 |
| Fax Number: | 2034535003 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 0364 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |