Organization
ELEGANT CLINICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN KORA GASTON ED.D. (CEO)
(860) 758-4098
Entity
Organization
Contact information
Practice address
170 NORTH RD, EAST WINDSOR, CT 06088-9678
(860) 413-9509
Mailing address
170 NORTH RD, EAST WINDSOR, CT 06088-9678
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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