Organization
STATE OF CT. - OFFICE OF THE COMPTROLLER
Active
Other names
DMR Birth to Three Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT L O'CONNELL (CHIEF ADMINISTRATIVE AND FISCAL SER)
(860) 418-6163
Entity
Organization
Contact information
Practice address
460 CAPITOL AVE, HARTFORD, CT 06106-1308
(860) 418-6147
(860) 418-6003
Mailing address
460 CAPITOL AVE, HARTFORD, CT 06106-1308
(860) 418-6147
(860) 418-6003
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004141529
—
CT
Enumeration date
02/26/2007
Last updated
07/07/2008
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