| NPI | 1497863658 |
|---|---|
| Other Name | EASTER SEALS WATERBURY |
| Entity Type | Organization |
| Authorized Contact | LORAINE SHEA President 203-754-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2016-07-27 |