| NPI | 1831814441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA KEITH Licensed Childcare Provider 860-494-9149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |