| NPI | 1821830514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIANO LABOY Supervisor 860-471-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |