Whalio Doctors

NPI 1255735577

Pivot Ministries, INC.

Organisation Substance Abuse Rehabilitation Facility Bridgeport, CT

Practice location

Address
485 Jane St, Bridgeport, CT 06608-1707
Phone
(203) 336-9263
Fax
(203) 610-6765

Authorised official

Name
Tony Kiniry
Title
Executive Director
Phone
(203) 336-9263

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1255735577
Entity type
Organization
NPI issued
15 Oct 2014
Record last updated
15 Oct 2014

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.