Organization · NPI-2

Community Resources For Justice

Community/Behavioral Health · Bridgeport, CT

NPI number1598968752
StatusActive
Last updated in NPPESJun 25, 2020

Details

NPI
1598968752
Entity type
Organization (NPI-2)
Legal business name
Community Resources For Justice
Organization subpart
No
Enumeration date
Jun 6, 2007
Certification date
Jun 25, 2020
Last updated
Jun 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
101Y00000X Counselor00MA

Practice location

75 Washington Ave
Bridgeport, CT 06604-3802

Phone 203-576-6924

Mailing address

355 Boylston St
Boston, MA 02116-3332

Phone 617-482-2520 · Fax 617-262-8054

Authorized official

Ellen Donnarumma
Vice President
6174822520

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