| NPI | 1740688001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LEVINE Executive Director/Member 860-413-9538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2020-03-20 |