OrganizationActive
Connecticut Violence Intervention Program, Inc.
NPI 1013631506 · Prevention Professional · New Haven, CT
Provider details
- NPI number
- 1013631506
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Michaela Reilly, Marketing, Technology & Research(201) 783-4921
Specialties & taxonomies
Other Service Providers
Practice location
230 Ashmun St
New Haven, CT 06511-3574
Phone: (203) 410-2580
Approximate (ZIP-level) locationGet directions
Mailing address
230 Ashmun St
New Haven, CT 06511-3574
Registry dates
- Enumerated
- 2022-09-28
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.