Organization
ST. VINCENT'S BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY P FUSCO L.P.C. (TREATMENT COORDINATOR)
(203) 362-3914
Entity
Organization
Contact information
Practice address
2400 MAIN ST, BRIDGEPORT, CT 06606-5323
(203) 362-3914
(203) 362-2463
Mailing address
2400 MAIN ST, BRIDGEPORT, CT 06606-5323
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
001418
CT
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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