| NPI | 1629148259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI I PASQUALINI V.P & C.A.F.O 203-775-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: 5946201R) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NY 5946201R) |
| 225100000X Physical Therapist (Licence: NY 5946201R) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 5946201R) | |
| 174400000X Specialist (Licence: NY 5946201R) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-09-30 |