Organization
JEWISH FAMILY SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARVEY MICHAEL PARIS LCSW (PRESIDENT)
(203) 366-5438
Entity
Organization
Contact information
Practice address
2370 PARK AVE, BRIDGEPORT, CT 06604-1617
(203) 366-5438
(203) 366-1580
Mailing address
325 REEF RD, SUITE 210, FAIRFIELD, CT 06824-6537
(203) 366-5438
(203) 908-4917
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4067682
—
CT
Enumeration date
12/27/2006
Last updated
05/29/2014
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