| NPI | 1568807519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA E CLAYTON Vice President 860-794-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: CT HCA.0000759) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CT HCA.0000759) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: CT HCA.0000759) | |
| 251S00000X Community/Behavioral Health (Licence: CT HCA.0000759) | |
| 347C00000X Private Vehicle (Licence: CT HCA.0000759) | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: CT HCA.0000759) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |