Community Child Guidance Clinic, Inc.
NPI #1780730267 in Manchester, Connecticut
Provider Information
- NPI Number
- 1780730267
- Entity Type
- Organization
- Organization Name
- Community Child Guidance Clinic, Inc.
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Jan 26, 2007
- Last Updated
- May 3, 2013
Practice Location
- Address
- 317 N MAIN ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06042-2007
- Phone
- (860) 643-2101
Authorized Official
- Name
- MR. CLIFFORD JOHNSON, LCSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (860) 643-2101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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