NPI 1720013360
State of Connecticut
Practice location
- Address
- 1635 Central Ave, Bridgeport, CT 06610
- Phone
- (203) 551-7660
- Fax
- (203) 551-7481
Authorised official
- Name
- Stephen a Dipietro
- Title
- Chief Financial Officer
- Phone
- (860) 418-6923
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1720013360
- Entity type
- Organization
- NPI issued
- 12 Jul 2006
- Record last updated
- 16 Mar 2016
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.