Organization
BOYS & GIRLS VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RICHARD ROMANO M.A. MFT (IICAPS CLINICIAN)
(203) 690-5159
Entity
Organization
Contact information
Practice address
170 BENNETT ST, BRIDGEPORT, CT 06605-2901
(203) 330-6790
Mailing address
8 1/2 GIRARD ST, APT. B, NORWALK, CT 06850
(203) 722-1728
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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