Provider Demographics
NPI:1487034641
Name:FAMILY STRONG CT
Entity Type:Organization
Organization Name:FAMILY STRONG CT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-SURMOLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-267-4455
Mailing Address - Street 1:49 PETER RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-2681
Mailing Address - Country:US
Mailing Address - Phone:203-267-4455
Mailing Address - Fax:
Practice Address - Street 1:49 PETER RD
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2681
Practice Address - Country:US
Practice Address - Phone:203-267-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1-12-10033103K00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty