Provider Demographics
NPI:1447488432
Name:ST. FRANCIS HOME FOR CHILDREN INC.
Entity type:Organization
Organization Name:ST. FRANCIS HOME FOR CHILDREN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:203-777-5513
Mailing Address - Street 1:651 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-2003
Mailing Address - Country:US
Mailing Address - Phone:203-777-5513
Mailing Address - Fax:203-777-4039
Practice Address - Street 1:672 CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1215
Practice Address - Country:US
Practice Address - Phone:203-401-4066
Practice Address - Fax:203-401-2099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health