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