| NPI | 1962243188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KOUASSI NOBOU Manager 860-538-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |