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Organization

ABILITY BEYOND DISABILLITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORI I. PASQUALINI C.P.A. (VICE PRESIDENT, C.F.A.O.)
(203) 826-3017
Entity
Organization

Contact information

Practice address
5 SQUIRE CT, BROOKFIELD, CT 06804-3727
(203) 775-4700
Mailing address
4 BERKSHIRE BLVD, BETHEL, CT 06801-1001
(203) 775-4700

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01233792
NY
Enumeration date
02/04/2008
Last updated
09/02/2008
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