Healthcare Provider Details

I. General information

NPI: 1437468386
Provider Name (Legal Business Name): WESTBROOK YOUTH & FAMILY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1163 BOSTON POST RD
WESTBROOK CT
06498-0918
US

IV. Provider business mailing address

PO BOX 918
WESTBROOK CT
06498-0918
US

V. Phone/Fax

Practice location:
  • Phone: 860-399-9239
  • Fax: 860-399-7529
Mailing address:
  • Phone: 860-399-9239
  • Fax: 860-399-7529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SARA G ZAIENTZ
Title or Position: DIRECTOR
Credential: LCSW
Phone: 860-399-9239