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Fsw,inc.

Community/Behavioral Health in Bridgeport, CT. Organization (NPI-2).

NPI number1124239652
StatusActive
Last updated in NPPESNov 18, 2020

Details

NPI
1124239652
Entity type
Organization (NPI-2)
Legal business name
Fsw,inc.
Organization subpart
No
Enumeration date
May 25, 2007
Certification date
Nov 18, 2020
Last updated
Nov 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health003572CTYes

Practice location

475 Clinton Ave
Bridgeport, CT 06605-1700

Phone 203-368-4291 · Fax 203-696-0714

Mailing address

475 Clinton Ave
Bridgeport, CT 06605-1700

Phone 203-368-4291 · Fax 203-696-0714

Authorized official

Frank Farias
Chief Financial & Hr Officer
2033684291

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