| NPI | 1346692563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D POWERS Executive Director 860-430-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CT 1779) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |