Healthcare Provider Details

I. General information

NPI: 1841750122
Provider Name (Legal Business Name): FAMILY CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

986 BEDFORD ST
STAMFORD CT
06905-5610
US

IV. Provider business mailing address

40 ARCH ST
GREENWICH CT
06830-6525
US

V. Phone/Fax

Practice location:
  • Phone: 203-324-3167
  • Fax: 203-358-2327
Mailing address:
  • Phone: 203-869-4848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MARION BEALE
Title or Position: ACTING CFO
Credential:
Phone: 203-517-1016