NPI | 1871709402 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA D. DAVIS Executive Director 860-537-4697 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CT R-466) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2008-06-24 |