Organization
THE CHILD AND FAMILY GUIDANCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L. PHILIP GUZMAN PH.D (PRESIDENT CEO)
(203) 394-6529
Entity
Organization
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
(203) 394-6534
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
(203) 394-6534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039251
—
CT
Enumeration date
12/11/2006
Last updated
12/23/2014
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