Organization · NPI-2

The Resuscitation Center, LLC

Community/Behavioral Health · Milford, CT

NPI number1043834203
StatusActive
Last updated in NPPESJun 3, 2020

Details

NPI
1043834203
Entity type
Organization (NPI-2)
Legal business name
The Resuscitation Center, LLC
Organization subpart
No
Enumeration date
Jun 3, 2020
Certification date
Jun 3, 2020
Last updated
Jun 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

204 Bridgeport Ave
Milford, CT 06460-3937

Phone 203-533-9512

Mailing address

204 Bridgeport Ave
Milford, CT 06460-3937

Phone 203-533-9512

Authorized official

Dara Godfrey
Director Of Operations
2039367397

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