Organization
EASTER SEALS CAPITOL REGION AND EASTERN CONNECTICUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN GOUSE (CEO)
(860) 270-0600
Entity
Organization
Contact information
Practice address
100 DEERFIELD ROAD, WINDSOR, CT 06095
(860) 270-0600
Mailing address
100 DEERFIELD ROAD, WINDSOR, CT 06095
(860) 270-0600
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
3455
CT
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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