Organization
FULL CIRCLE YOUTH EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA ANDREWS (CREDENTIALING MANAGER)
(203) 400-2725
Entity
Organization
Contact information
Practice address
583-585 EAST MAIN STREET, BRIDGEPORT, CT 06608
(203) 332-6200
(203) 332-6202
Mailing address
2310 MADISON AVE, BRIDGEPORT, CT 06606-3241
(203) 400-2725
(203) 557-8901
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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