| NPI | 1063626547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MUSTAKAS Billing Specialist 203-531-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-08-09 |