NPI | 1912367194 |
---|---|
Entity Type | Organization |
Authorized Contact | LAMISHA S CORLEY Clinical Supervisor 860-528-4037 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CT 1417097593) |
Enumeration Date | 2016-03-01 |
Last Update Date | 2016-03-01 |