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General NPI Number Information
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NPI Number | 1033206511
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Entity Type | Organization
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Legal Business Name | FAMILY SERVICES OF CENTRAL CONNECTICUT, INC.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 47 CLAPBOARD HILL RD SACHEM KNOLL PROFESSIONAL CENTER
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City | GUILFORD
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State | CT
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Zip | 06437-2200
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Country | US
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Telephone | 203-453-2925
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Fax | 203-453-5003
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Provider Business Mailing Address
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Address Line | 92 VINE ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1433
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Country | US
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Telephone | 860-223-9291
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Fax | 860-223-3111
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. MARK MURADIAN
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Credential | DPA
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Telephone | 860-826-1358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0364
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 0339
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License Number State | CT
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