| NPI | 1861634073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE CORTES Manager/Owner 860-770-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 251B00000X Case Management | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 253Z00000X In Home Supportive Care (Licence: CT HCA.0000678) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2013-01-09 |