NPI: 1922006923
Provider Name: LIFEBRIDGE COMMUNITY SERVICES, INC.
Former Legal Business Name: FSW, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
475 CLINTON AVE
BRIDGEPORT, CT
ZIP 06605
Phone: (203) 368-4291
Get Directions
LIFEBRIDGE COMMUNITY SERVICES, INC. is a mental health (including community mental health center) clinic center in Bridgeport, CT. LIFEBRIDGE COMMUNITY SERVICES, INC. NPI is 1922006923. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Fsw, Inc.
The provider's business location address is:
475 CLINTON AVE
BRIDGEPORT, CT
ZIP 06605-700
Phone: (203) 368-4291
Fax: (203) 368-9167
The provider's authorized official is Frank Farias .
The authorized official title is Chief Financial & Hr Officer and has the following contact phone number (203) 368-4291.
The enumeration date for this NPI number is 7/13/2005 and was last updated on 11/18/2020.