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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