NPI | 1346210135 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY S. BRAVIN Executive Director 860-570-1816 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 101Y00000X Counselor |
231H00000X Audiologist | |
235Z00000X Speech-Language Pathologist, | |
363L00000X Nurse Practitioner | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2022-02-16 |