Organization
ST VINCENT'S SPECIAL NEEDS CENTER INC
Active
Parent organization
ST VICNENT'S MEDICAL CENTER
Other names
St Vincent's Special Needs Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST VICNENT'S MEDICAL CENTER
Authorized official
MR. RAYMOND G BALDWIN JR. (PRESIDENT CEO)
(203) 386-2818
Entity
Organization
Contact information
Practice address
95 MERRITT BLVD, TRUMBULL, CT 06611-5435
(203) 375-6400
(203) 380-1190
Mailing address
95 MERRITT BLVD, TRUMBULL, CT 06611-5435
(203) 375-6400
(203) 380-1190
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004062683
—
CT
Enumeration date
11/27/2013
Last updated
11/27/2013
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