| NPI | 1194985457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK COZEAN Vice President 860-829-4520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CT 1664-RCH) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |