Provider Demographics
NPI:1275036501
Name:NORTHWEST HILLS YOUTH AND FAMILY SERVICES INC.
Entity Type:Organization
Organization Name:NORTHWEST HILLS YOUTH AND FAMILY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-415-8066
Mailing Address - Street 1:240 KENT RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:CT
Mailing Address - Zip Code:06754-1607
Mailing Address - Country:US
Mailing Address - Phone:203-415-8066
Mailing Address - Fax:860-799-4156
Practice Address - Street 1:8 SACKETT HILL RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:CT
Practice Address - Zip Code:06754
Practice Address - Country:US
Practice Address - Phone:203-415-8066
Practice Address - Fax:860-799-4156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty