NPI | 1487023693 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL STORZ President 203-397-1714 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-17 |