| NPI | 1730504564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA VALLANGCA Administrator 203-822-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AK 101036) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |