| Child Guidance Center Of Greater Bpt | |
|
180 Fairfield Ave Bridgeport CT 06604-4252 | |
| (203) 394-6529 | |
| Not Available |
| Full Name | Child Guidance Center Of Greater Bpt |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 180 Fairfield Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Jeanne Marion Odonnell (SUPERVISOR) |
| Authorized Official Contact | 2032552631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Guidance Center Of Greater Bpt 180 Fairfield Ave Bridgeport CT 06604-4252 Ph: (203) 394-6529 | Child Guidance Center Of Greater Bpt 180 Fairfield Ave Bridgeport CT 06604-4252 Ph: (203) 394-6529 |
| NPI Number | 1902139181 |
|---|---|
| Provider Enumeration Date | 09/07/2009 |
| Last Update Date | 09/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902139181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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