institution
State Of Connecticut
Psychiatric Hospital in Bridgeport, Connecticut
NPI 1720013360

State Of Connecticut is a Psychiatric Hospital based in Bridgeport, CT. State Of Connecticut practices in Bridgeport, CT. The NPI Number for State Of Connecticut is 1720013360 and holds a License No. (Connecticut).

The current practice location address for State Of Connecticut is 1635 Central Ave, Bridgeport, CT and can be reached out via phone at 203-551-7660 and via fax at 203-551-7481. You can also correspond with State Of Connecticut through the mailing address at 1635 CENTRAL AVE, BRIDGEPORT, CT - 06610 (mailing address contact number: 203-551-7660).

Location: 1635 Central Ave, Bridgeport, CT, 06610
institution
Provider Profile Details
NPI Number
1720013360
Provider Name
State Of Connecticut
Credential
Provider Entity Type
Organization
Address
1635 Central Ave, Bridgeport, CT, 06610
Phone Number
203-551-7660
Fax Number
203-551-7481
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004025607 05 CT
004122925 05 CT
004075669 05 CT
004075651 05 CT
004120060 05 CT
institution
Provider Business Practice Location Address Details
Address
1635 Central Ave
City
State
Zip
06610
Phone Number
203-551-7660
Fax Number
203-551-7481
person
Provider Business Mailing Address Details
Address
1635 Central Ave
City
State
Zip
06610
Phone Number
203-551-7660
Fax Number
203-551-7481
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
License No.
()
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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