Community Matters Outpatient Psychiatric Clinic for Children, Inc.

NPI #1295336329 in East Hartford, Connecticut

Provider Information

NPI Number: 1295336329
Entity Type: Organization
Organization Name: Community Matters Outpatient Psychiatric Clinic for Children, Inc.
Primary Specialty: Community/Behavioral Health
Enumeration Date: Nov 4, 2020
Last Updated: Nov 4, 2020

Practice Location

Address: 531 MAIN ST
City: East Hartford
State: Connecticut
ZIP Code: 06108-3305
Phone: (860) 282-8882

Authorized Official

Name: TANGIE R MCDOUGALD, LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (860) 282-8882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Community Health — Community Health	261QC1500X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Community/Behavioral Health	251S00000X	Primary

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