Organization
COMMUNITY BASED ADOLESCENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK ANTHONY MASTRI LPC (EXECUTIVE DIRECTOR)
(203) 537-9811
Entity
Organization
Contact information
Practice address
87 JONES ST, WEST HAVEN, CT 06516-5435
(203) 537-9811
Mailing address
PO BOX 10, BRIDGEPORT, CT 06601-0010
(203) 937-8830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001630
CT
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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