CATHOLIC CHARITIES OF FAIRFIELD COUNTY INC; NPI #1205050606

Contact Information

CATHOLIC CHARITIES OF FAIRFIELD COUNTY INC

405 MAIN STREET
DANBURY, CT 06810

Phone: 203-743-4412
Fax: 203-738-1188
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Adolescent and Children Mental Health	261QM0855X
Adult Mental Health	261QM0850X

Indicates primary specialty

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NPI Profile & details for CATHOLIC CHARITIES OF FAIRFIELD COUNTY INC

NPI Number 1205050606

LBN Legal business name CATHOLIC CHARITIES OF FAIRFIELD COUNTY INC

Authorized official TERRI FOGG DONOVAN - (BILLING LIASON)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/13/2007

Last updated 06/15/2023 - About 3 years ago

Identifiers

Medicaid

004040655

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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