| NPI | 1245696400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGHAN NAGURNEY Bcba 203-536-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 1-15-19751) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 001013) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |