Organization · NPI-2

Cathartic Breakthroughs, LLC

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

NPI number1770145286
StatusActive
Last updated in NPPESJul 3, 2019

Details

NPI
1770145286
Entity type
Organization (NPI-2)
Legal business name
Cathartic Breakthroughs, LLC
Organization subpart
No
Enumeration date
Jul 3, 2019
Last updated
Jul 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1000 Lafayette Blvd
Bridgeport, CT 06604-4725

Phone 203-296-3345

Mailing address

Po Box 5313
Bridgeport, CT 06610-0313

Phone 203-296-3345

Authorized official

Shanika Rucker
Member/Owner
2032963345

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