Provider Demographics
NPI:1568592293
Name:HUMAN SERVICES COUNCIL
Entity Type:Organization
Organization Name:HUMAN SERVICES COUNCIL
Other - Org Name:DR. ROBERT E. APPLEBY SCHOOL BASED HEALTH CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:DILAURO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:203-849-1111
Mailing Address - Street 1:1 PARK ST - 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4841
Mailing Address - Country:US
Mailing Address - Phone:203-849-1111
Mailing Address - Fax:203-849-1151
Practice Address - Street 1:350 MAIN AVE
Practice Address - Street 2:BRIGGS HIGH SCHOOL SBHC
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-1510
Practice Address - Country:US
Practice Address - Phone:203-846-6385
Practice Address - Fax:203-846-6395
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMAN SERVICES COUNCIL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-06
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0315251S00000X, 261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health