NPI 1700598588

Community Services to Support Independence

Organisation Developmentally Disabled Services Day Training Agency Bridgeport, CT

Practice location

Address: 555 Westfield Ave, Bridgeport, CT 06606-4133
Phone: (646) 228-9582
Fax: (646) 228-9582

Authorised official

Name: Maxine Vaughn
Title: Founder
Phone: (917) 753-9297

Registered specialties (5)

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Supports Brokerage Agency

Agencies Taxonomy 251X00000X

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Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1700598588
Entity type: Organization
NPI issued: 23 Dec 2022
Record last updated: 23 Dec 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.