| NPI | 1265950935 |
|---|---|
| Doing Business As | LAURA DEANGELO |
| Entity Type | Organization |
| Authorized Contact | LAURA BARBUTO DEANGELO Managing Member 860-966-6786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 9517) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |