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Organization
CREC RIVER STREET AUTISM PROGRAM AT COLTSVILLE
Active
Organization
CREC RIVER STREET AUTISM PROGRAM AT COLTSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS PARVENSKI (DIRECTOR)
(860) 298-0079
Entity
Organization
Contact information
Practice address
111 CHARTER OAK AVE, HARTFORD, CT 06106-1912
(860) 298-9079
(860) 722-9438
Mailing address
111 CHARTER OAK AVE, HARTFORD, CT 06106-1912
(860) 298-9079
(860) 722-9438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1000342
CT
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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