| Jewish Family Service, Inc. | |
|
2370 Park Ave Bridgeport CT 06604-1617 | |
| (203) 366-5438 | |
| (203) 366-1580 |
| Full Name | Jewish Family Service, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2370 Park Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Harvey Michael Paris (PRESIDENT) |
| Authorized Official Contact | 2033665438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Service, Inc. 325 Reef Rd Suite 210 Fairfield CT 06824-6537 Ph: (203) 366-5438 | Jewish Family Service, Inc. 2370 Park Ave Bridgeport CT 06604-1617 Ph: (203) 366-5438 |
| NPI Number | 1669537668 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669537668 | NPI | - | NPPES |
| 4067682 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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