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Organization

FULL CIRCLE YOUTH EMPOWERMENT

Active
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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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