Organization
CATHOLIC CHARITIES OF FAIRFIELD COUNTY, INC.
Active
Other names
Catholic Charities - Bridgeport
Organization subpart
No
Provider details
NPI number
Authorized official
AL BARBER (PRESIDENT & CHIEF OPERATING OFFICER)
(203) 416-1307
Entity
Organization
Contact information
Practice address
238 JEWETT AVE, BRIDGEPORT, CT 06606-2845
(203) 416-1318
(203) 373-0835
Mailing address
238 JEWETT AVE, BRIDGEPORT, CT 06606-2845
(203) 416-1318
(203) 373-0835
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040655
—
CT
Enumeration date
04/16/2007
Last updated
08/14/2012
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