Organization
BOYS AND GIRLS VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN G. BERRY MS (CLINICIAN)
(475) 414-6105
Entity
Organization
Contact information
Practice address
170 BENNETT ST, BRIDGEPORT, CT 06605-2901
(203) 330-6790
Mailing address
528 WHEELERS FARMS RD, MILFORD, CT 06461-1847
(203) 877-0300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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