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General NPI Number Information
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NPI Number | 1669537668
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY SERVICE, INC.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 2370 PARK AVE
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City | BRIDGEPORT
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State | CT
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Zip | 06604-1617
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Country | US
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Telephone | 203-366-5438
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Fax | 203-366-1580
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Provider Business Mailing Address
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Address Line | 325 REEF RD SUITE 210
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City | FAIRFIELD
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State | CT
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Zip | 06824-6537
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Country | US
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Telephone | 203-366-5438
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Fax | 203-908-4917
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HARVEY MICHAEL PARIS
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Credential | LCSW
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Telephone | 203-366-5438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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