| NPI | 1144767286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D POWERS Executive Director 860-430-1762 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CT 001779) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 001779) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |