| Southwest Community Health Center | |
|
1046 Fairfield Ave Bridgeport CT 06605 | |
| (203) 332-3105 | |
| (203) 331-4716 |
| Full Name | Southwest Community Health Center |
|---|---|
| Speciality | Counselor |
| Location | 1046 Fairfield Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Brian Becker (COUNSELOR) |
| Authorized Official Contact | 2033323105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Community Health Center 1046 Fairfield Ave Bridgeport CT 06605 Ph: (203) 332-3105 | Southwest Community Health Center 1046 Fairfield Ave Bridgeport CT 06605 Ph: (203) 332-3105 |
| NPI Number | 1407307119 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407307119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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