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Organization
THE CHILD AND FAMILY GUIDANCE CENTER, INC.
Active
Organization
THE CHILD AND FAMILY GUIDANCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L. PHILIP GUZMAN PH.D (PRESIDENT CEO)
(203) 394-6529
Entity
Organization
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
(203) 394-6534
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
(203) 394-6534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/11/2006
Last updated
12/23/2014
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