Organization
CHILD GUIDANCE CENTER OF GREATER BPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE MARION ODONNELL LCSW (SUPERVISOR)
(203) 255-2631
Entity
Organization
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 394-6529
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/07/2009
Last updated
09/07/2009
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