Provider Demographics
NPI:1710868732
Name:TOWN OF TRUMBULL
Entity type:Organization
Organization Name:TOWN OF TRUMBULL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HUMAN SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAKAB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-452-5144
Mailing Address - Street 1:23 PRISCILLA PL
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-5123
Mailing Address - Country:US
Mailing Address - Phone:203-452-5199
Mailing Address - Fax:
Practice Address - Street 1:121 OLD MINE RD
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-1319
Practice Address - Country:US
Practice Address - Phone:203-452-5193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF TRUMBULL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)