| NPI | 1164190997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOSHA BONAPARTE-VIRGIL Director 203-578-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-12-02 |