| Community Resources For Justice | |
|
75 Washington Ave Bridgeport CT 06604-3802 | |
| (203) 576-6924 | |
| Not Available |
| Full Name | Community Resources For Justice |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 75 Washington Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Ellen Donnarumma (VICE PRESIDENT) |
| Authorized Official Contact | 6174822520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Resources For Justice 355 Boylston St Boston MA 02116-3332 Ph: (617) 482-2520 | Community Resources For Justice 75 Washington Ave Bridgeport CT 06604-3802 Ph: (203) 576-6924 |
| NPI Number | 1598968752 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598968752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 00 (Massachusetts) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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