Organization Name: | TOWN OF STAFFORD - STAFFORD FAMILY SERVICES |
NPI Number: | 1952699704 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAMONA SINGLETON (EXECUTIVE DIRECTOR) |
Mailing Address: | 21 Hyde Park Rd Stafford Springs |
State: | CT US |
Postal Code: | 060761507 |
Phone Number: | 8606844239 |
Fax Number: | 8606840511 |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 07/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000934 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |