Organization · NPI-2

Boys & Girls Village, INC

Community/Behavioral Health · Bridgeport, CT

NPI number1932584570
StatusActive
Last updated in NPPESNov 3, 2026

Details

NPI
1932584570
Entity type
Organization (NPI-2)
Legal business name
Boys & Girls Village, INC
Organization subpart
No
Enumeration date
Jul 24, 2015
Certification date
Nov 3, 2026
Last updated
Nov 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

170 Bennett St
Bridgeport, CT 06605-2901

Phone 203-330-6790

Mailing address

8 1/2 Girard St
Apt. B
Norwalk, CT 06850

Phone 203-722-1728

Authorized official

Carra Conlan
Vp Community Services
2037137728

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