Organization
CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER
Active
Organization
CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTER
Active
Other names
Roosevelt Elementary School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAN EVANS (DIRECTOR OF HEALTH)
(203) 576-7680
Entity
Organization
Contact information
Practice address
680 PARK AVE, BRIDGEPORT, CT 06604-4610
(203) 576-8090
Mailing address
752 E MAIN ST, BRIDGEPORT, CT 06608-2335
(203) 576-8090
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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