Healthcare Provider Details

I. General information

NPI: 1265477780
Provider Name (Legal Business Name): FAMILY CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 BRIDGE ST
GREENWICH CT
06830-5238
US

IV. Provider business mailing address

40 ARCH ST
GREENWICH CT
06830-6525
US

V. Phone/Fax

Practice location:
  • Phone: 203-629-2822
  • Fax: 209-629-2940
Mailing address:
  • Phone: 206-869-4848
  • Fax: 206-869-7764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARION BEALE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 203-517-1016