| 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 |