| NPI | 1700576881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN VON CHANEY Founder/CEO 860-625-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133N00000X Nutritionist | |
| 174200000X | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251V00000X Voluntary or Charitable | |
| 253J00000X Foster Care Agency | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |