| NPI | 1093523912 |
|---|---|
| Doing Business As | ROAD TO INDEPDENCE |
| Entity Type | Organization |
| Authorized Contact | LYNN A COALSON Owner 203-376-6640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |