Organization
CONNECTICUT VIOLENCE INTERVENTION PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA FRASER REILLY (MARKETING, TECHNOLOGY & RESEARCH)
(201) 783-4921
Entity
Organization
Contact information
Practice address
230 ASHMUN ST, NEW HAVEN, CT 06511-3574
(203) 410-2580
Mailing address
230 ASHMUN ST, NEW HAVEN, CT 06511-3574
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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