| NPI | 1235685504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY M MALCHOW Board Certified Behavioral Analyst 860-420-9253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |