Healthcare Provider Details

I. General information

NPI: 1033206511
Provider Name (Legal Business Name): FAMILY SERVICES OF CENTRAL CONNECTICUT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 CLAPBOARD HILL RD SACHEM KNOLL PROFESSIONAL CENTER
GUILFORD CT
06437-2200
US

IV. Provider business mailing address

92 VINE ST
NEW BRITAIN CT
06052-1433
US

V. Phone/Fax

Practice location:
  • Phone: 203-453-2925
  • Fax: 203-453-5003
Mailing address:
  • Phone: 860-223-9291
  • Fax: 860-223-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number0364
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number0339
License Number StateCT

VIII. Authorized Official

Name: DR. MARK MURADIAN
Title or Position: EXECUTIVE DIRECTOR
Credential: DPA
Phone: 860-826-1358