Organization
STATE OF CONNECTICUT
Active
Other names
Southwest Connecticut Mental Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN A DIPIETRO (CHIEF FINANCIAL OFFICER)
(860) 418-6923
Entity
Organization
Contact information
Practice address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610
(203) 551-7660
(203) 551-7481
Mailing address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610
(203) 551-7660
(203) 551-7481
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025607
—
CT
05
—
004075651
—
CT
05
—
004075669
—
CT
05
—
004120060
—
CT
05
—
004122925
—
CT
Enumeration date
07/12/2006
Last updated
03/16/2016
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