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Organization

CATHARTIC BREAKTHROUGHS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHANIKA RUCKER LCSW (MEMBER/OWNER)
(203) 296-3345
Entity
Organization

Contact information

Practice address
1000 LAFAYETTE BLVD, BRIDGEPORT, CT 06604-4725
(203) 296-3345
Mailing address
PO BOX 5313, BRIDGEPORT, CT 06610-0313
(203) 296-3345

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/03/2019
Last updated
07/03/2019
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