Organization
THE YOUTH LIGHT FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CLARK (EXECUTIVE DIRECTOR)
(860) 567-0700
Entity
Organization
Contact information
Practice address
3 WEST ST, LITCHFIELD, CT 06759-3501
(860) 567-0700
(860) 567-5901
Mailing address
PO BOX 1655, LITCHFIELD, CT 06759-1655
(860) 567-0700
(860) 567-5901
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
000701
CT
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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