| NPI | 1821847427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA CHELSEA SISOUNONG Owner, Bcba 860-578-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-22 |