| NPI | 1467999748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCGIE Director 203-894-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CT 0000838) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |