Boys and Girls Village
NPI #1154853307 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1154853307
- Entity Type
- Organization
- Organization Name
- Boys and Girls Village
- Primary Specialty
- Social Worker
- Enumeration Date
- Mar 28, 2017
- Last Updated
- Mar 28, 2017
Practice Location
- Address
- 170 BENNETT ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06605-2901
- Phone
- (203) 980-4625
Authorized Official
- Name
- KRISTA AMATO
- Title
- IICAPS CLINICIAN
- Phone
- (203) 980-4625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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