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General NPI Number Information
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NPI Number | 1235588625
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Entity Type | Organization
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Legal Business Name | FAMILY CENTERS INC.
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 75 HOLLY HILL LN STE 102
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City | GREENWICH
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State | CT
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Zip | 06830-2911
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Country | US
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Telephone | 203-717-1760
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Fax | 203-622-2951
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Provider Business Mailing Address
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Address Line | 40 ARCH ST
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City | GREENWICH
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State | CT
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Zip | 06830-6525
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Country | US
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Telephone | 203-829-2822
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Fax | 203-629-2940
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Authorized Official
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Title or Position | ACTING CFO
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Name | MARION BEALE
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Credential |
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Telephone | 203-517-1016
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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