Organization · NPI-2

Catholic Charities Of Fairfield County, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Bridgeport, CT

NPI number1104155449
StatusActive
Last updated in NPPESDec 16, 2009

Details

NPI
1104155449
Entity type
Organization (NPI-2)
Legal business name
Catholic Charities Of Fairfield County, INC.
Organization subpart
No
Enumeration date
Dec 16, 2009
Last updated
Dec 16, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

43 Madison Ave
Bridgeport, CT 06604-3334

Phone 203-366-0443

Mailing address

43 Madison Ave
Bridgeport, CT 06604-3334

Phone 203-366-0443

Authorized official

Al Barber
President
2034161307

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