| Organization Name: | FAMILY AFFIRMATION CENTER FOR TREATMENT, LLC |
| NPI Number: | 1083921506 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA KELTON (PARTNER) |
| Mailing Address: | 281 Hartford Tpke Suite 201 Vernon |
| State: | CT US |
| Postal Code: | 060664784 |
| Phone Number: | 8608965331 |
| Fax Number: | 8608965334 |
| NPI Enumeration Date: | 09/03/2010 |
| NPI Last Update Date: | 09/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 004829 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |