Organization · Type 2 NPI

Community Child Guidance Clinic, Inc.

Adolescent and Children Mental Health Clinic/Center · Manchester, CT

NPI number 1780730267 Active

Practice location

317 N Main St
Manchester, CT 06042-2007

Fax (860) 645-1470

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000X0238 (CT)
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XOPCC-14 (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.

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About NPI 1780730267

Community Child Guidance Clinic, Inc.'s National Provider Identifier is 1780730267, issued on Jan 26, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Manchester, CT. The record was last updated on May 3, 2013.