NPI 1861767402

St. Vincent's Behavioral Health Services

Organisation Psychiatric Hospital Bridgeport, CT

Practice location

Address: 2400 Main St, Bridgeport, CT 06606-5323
Phone: (203) 362-3914
Fax: (203) 362-2463

Authorised official

Name: Anthony P Fusco
Title: Treatment Coordinator
Phone: (203) 362-3914

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 001418 (CT)

Other Psychiatric Hospital providers in Connecticut →

Registry record

NPI: 1861767402
Entity type: Organization
NPI issued: 15 Mar 2012
Record last updated: 15 Mar 2012

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.