Provider Demographics
NPI:1215020870
Name:TOWN OF NEWINGTON
Entity Type:Organization
Organization Name:TOWN OF NEWINGTON
Other - Org Name:NEWINGTON HUMAN SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF HUMAN SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FREIDENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-665-8590
Mailing Address - Street 1:131 CEDAR STREET
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111
Mailing Address - Country:US
Mailing Address - Phone:860-665-8590
Mailing Address - Fax:860-665-8599
Practice Address - Street 1:131 CEDAR STREET
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111
Practice Address - Country:US
Practice Address - Phone:860-665-8590
Practice Address - Fax:860-665-8599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty