NPI 1487958278

Community Based Adolescent Services

Organisation Community/Behavioral Health Agency West Haven, CT

Practice location

Address: 87 Jones St, West Haven, CT 06516-5435
Phone: (203) 537-9811
Fax: (203) 937-8830
Mailing address: PO Box 10, Bridgeport, CT 06601-0010

Authorised official

Name: Frank a Mastri
Title: Executive Director
Phone: (203) 537-9811

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 001630 (CT)

Other Community/Behavioral Health providers in Connecticut →

Registry record

NPI: 1487958278
Entity type: Organization
NPI issued: 7 Jan 2011
Record last updated: 7 Jan 2011

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.