Organization
ST. VINCENT'S SPECIAL NEEDS CENTER, INC.
Active
Parent organization
ST. VINCENT'S MEDICAL CENTER
Other names
St. Vincent's Special Needs Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT'S MEDICAL CENTER
Authorized official
MR. RAYMOND G BALDWIN JR. (PRESIDENT CEO)
(203) 375-6400
Entity
Organization
Contact information
Practice address
95 MERRITT BLVD, TRUMBULL, CT 06611-5435
(203) 375-6400
(203) 380-1190
Mailing address
95 MERRITT BLVD, TRUMBULL, CT 06611-5435
(203) 375-6400
(203) 380-1190
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA3000X
Augmentative Communication Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040028
—
CT
Enumeration date
03/28/2007
Last updated
11/18/2013
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