| NPI | 1851629497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER C. PATCH Executive Director 860-754-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-01-0652) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2010-07-12 |