NPI 1184193591

Full Circle Youth Empowerment

Organisation Community/Behavioral Health Agency Bridgeport, CT

Practice location

Address: 583-585 East Main Street, Bridgeport, CT 06608
Phone: (203) 332-6200
Fax: (203) 332-6202
Mailing address: 2310 Madison Ave, Bridgeport, CT 06606-3241

Authorised official

Name: Andrea Andrews
Title: Credentialing Manager
Phone: (203) 400-2725

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Connecticut →

Registry record

NPI: 1184193591
Entity type: Organization
NPI issued: 14 Nov 2018
Record last updated: 14 Nov 2018

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.