Organization · Type 2 NPI
Boys & Girls Village, Inc
Adolescent and Children Mental Health Clinic/Center · Milford, CT
Practice location
528 Wheelers Farms Rd
Milford, CT 06461-1847
Fax (203) 876-0076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | EDT-10 (CT) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | OPCC-38 (CT) |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | CPA-40 (CT) |
| Psychiatric Residential Treatment Facility | 323P00000X | CCF/TS 17 (CT) |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
5 other providers at this address
- Carra Conlan, LCSWClinical Social Worker Milford, CT NPI 1013764463
- Christopher Eriksson, LPCProfessional Counselor Milford, CT NPI 1891196499
- Jamie L. Wright, MS, OTR/LOccupational Therapist Milford, CT NPI 1730321134
- Jasmine FordCase Manager/Care Coordinator Milford, CT NPI 1083426837
- Lucy M. HernandezProfessional Counselor Milford, CT NPI 1376109090
About NPI 1477583581
Boys & Girls Village, Inc's National Provider Identifier is 1477583581, issued on Jul 4, 2006. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Milford, CT. The record was last updated on Nov 2, 2026.