Organization
THE KENNEDY COLLECTIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SEBASTIAN (PRESIDENT AND CEO)
(203) 365-8522
Entity
Organization
Contact information
Practice address
2440 RESERVOIR AVE, TRUMBULL, CT 06611-4735
(203) 365-8522
(203) 365-8533
Mailing address
2440 RESERVOIR AVE, TRUMBULL, CT 06611-4735
(203) 332-4535
(203) 332-4539
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004186054
—
CT
Enumeration date
03/23/2007
Last updated
04/23/2024
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