Organization
INNOVATION IN EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KAUFMAN (CHIEF EXECUTIVE OFFICER)
(203) 641-3216
Entity
Organization
Contact information
Practice address
600 EAST ST, NEW BRITAIN, CT 06051-2132
(203) 641-3216
Mailing address
158 N TIMBER LN, CHESHIRE, CT 06410-3941
(203) 641-3216
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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