Organization
LV FAMILY RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS VIDAL MA (OWNER/PSYCHOTHERAPIST)
(203) 715-8591
Entity
Organization
Contact information
Practice address
63 BEACH ST, BRIDGEPORT, CT 06608-2201
(203) 715-8591
Mailing address
63 BEACH ST, BRIDGEPORT, CT 06608-2201
(203) 715-8591
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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