| NPI | 1720208606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SPITERI Business Manager 203-239-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CT 000061606) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |