| NPI | 1720521404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJIT DOOLABH Owner/Director 203-233-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 1-05-2201) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CT 1-05-2201) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |