| NPI | 1033296280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L CARVER Director Of Special Services 860-447-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 251300000X) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |