| NPI | 1801086830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY M MCMAHON Business Manager 203-245-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CT CCF/RE-4) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |