Organization
BAGS FOUNDATION CT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKIA REDDICK (EXECUTIVE DIRECTOR)
(203) 591-1182
Entity
Organization
Contact information
Practice address
135 E LIBERTY ST, WATERBURY, CT 06706-1301
(203) 591-1182
(203) 591-1181
Mailing address
135 E LIBERTY ST, WATERBURY, CT 06706-1301
(203) 591-1182
(203) 591-1181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
06/11/2019
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