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Organization

COMMUNITY BASED ADOLESCENT SERVICES

Active
Other names
CBAS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANK A MASTRI L.P.C. (EXECUTIVE DIRECTOR)
(203) 537-9811
Entity
Organization

Contact information

Practice address
87 JONES ST, WEST HAVEN, CT 06516-5435
(203) 537-9811
(203) 937-8830
Mailing address
PO BOX 10, BRIDGEPORT, CT 06601-0010
(203) 537-9811
(203) 937-8830

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001630
CT

Other

Enumeration date
01/07/2011
Last updated
01/07/2011
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