Organization · NPI-2
Community Services To Support Independence
Day Training, Developmentally Disabled Services · Bridgeport, CT
NPI number1700598588
StatusActive
Last updated in NPPESDec 23, 2022
Details
- NPI
- 1700598588
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Services To Support Independence
- Organization subpart
- No
- Enumeration date
- Dec 23, 2022
- Certification date
- Dec 23, 2022
- Last updated
- Dec 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251X00000X | Supports Brokerage | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
555 Westfield AveBridgeport, CT 06606-4133
Phone 646-228-9582 · Fax 646-228-9582
Mailing address
555 Westfield AveBridgeport, CT 06606-4133
Phone 646-228-9582
Authorized official
Maxine Vaughn
Founder
9177539297
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