Grove School
Residential Treatment Facility, Emotionally Disturbed Children in Madison, CT. Organization (NPI-2).
NPI number1801086830
StatusActive
Last updated in NPPESJul 26, 2007
Details
- NPI
- 1801086830
- Entity type
- Organization (NPI-2)
- Legal business name
- Grove School
- Organization subpart
- No
- Enumeration date
- Jul 26, 2007
- Last updated
- Jul 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CCF/RE-4 | CT | Yes |
Practice location
175 Copse RdMadison, CT 06443-2323
Phone 203-245-2778 · Fax 203-245-6098
Mailing address
175 Copse RdMadison, CT 06443-2323
Phone 203-245-2778 · Fax 203-245-6098
Authorized official
Kathy M McMahon
Business Manager
2032452778
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