NPI | 1255786638 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW VOGL Owner 860-391-5124 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CT 1-15-18792) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2016-05-04 |