| NPI | 1720401664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE BRACKETT Director 860-455-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CT 000359) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |