Ct- Family Care Services, Llc

NPI 1174868442 - Clinic/Center - 261QM0855X

NPI Details
NPI 1174868442
Enumeration Date 11/28/2012
Last Updated 10/24/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JUSTINIAN B JUSTINIAN
Position PRESIDENT & CEO
Phone (860) 432-8862
Fax
Practice Location
155 MAPLE ST
UNIT 204
SPRINGFIELD MA, 01105-2649, US
Phone (860) 432-8862
Fax
Business Location
155 MAPLE ST
UNIT 204
SPRINGFIELD MA, 01105-2649, US
Phone (860) 432-8862
Fax
Toxanomy
Taxonomy Code 261QM0855X
License State
License Number
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According to our database, Ct- Family Care Services, Llc NPI is 1174868442, taxonomy code is 261QM0855X Ct- Family Care Services, Llc physically located at 155 Maple St, Springfield MA, 01105-2649. NPI Number 1033115704 has the healthcare provider type.

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1174868442 NPI number is provided on an as is basis without warranty of any kind. 1174868442 is maintained by the National Plan & Provider Enumeration System. The contents of Ct- Family Care Services, Llc are for informational purposes only.