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General NPI Number Information
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NPI Number | 1225042542
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S CENTER OF HAMDEN, INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 1400 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06517-2426
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Country | US
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Telephone | 203-248-2116
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Fax | 203-287-9815
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Provider Business Mailing Address
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Address Line | 1400 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06517-2426
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Country | US
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Telephone | 203-248-2116
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Fax | 203-287-9815
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SARAH ELIZABETH LOCKERY
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Credential | LMFT
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Telephone | 203-248-2116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | EDT-1
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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 | SA-0093
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | CCF/RT-73
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | OPCC-51
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | CCF/RT-2
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License Number State | CT
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