Healthcare Provider Details

I. General information

NPI: 1144341421
Provider Name (Legal Business Name): FAMILY & CHILDREN'S AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 06/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MOTT AVE
NORWALK CT
06850-3330
US

IV. Provider business mailing address

9 MOTT AVE 4TH FLOOR
NORWALK CT
06850-3330
US

V. Phone/Fax

Practice location:
  • Phone: 203-855-8765
  • Fax: 203-838-3325
Mailing address:
  • Phone: 203-855-8765
  • Fax: 203-838-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number0322
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberSA-0137
License Number StateCT

VIII. Authorized Official

Name: ROBERT F CASHEL
Title or Position: PRESIDENT & CEO
Credential: LCSW
Phone: 203-855-8765