| NPI | 1992455745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSIDY BROWN Executive Director 860-445-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-06-23 |