NPI 1013631506

Connecticut Violence Intervention Program, INC.

Organisation Prevention Professional New Haven, CT

Practice location

Address: 230 Ashmun St, New Haven, CT 06511-3574
Phone: (203) 410-2580

Authorised official

Name: Michaela Fraser Reilly
Title: Marketing, Technology & Research
Phone: (201) 783-4921

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Registry record

NPI: 1013631506
Entity type: Organization
NPI issued: 28 Sep 2022
Record last updated: 28 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.