Petalu'Da Autism Services Llc

LBN: Petalu'Da Autism Services Llc
Petalu'Da Autism Services Llc is an health care organization with primary practice located at 6 Elizabeth Ln , Vernon CT 06066-5056. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Managed Care Organizations / Point of Service. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Petalu'Da Autism Services Llc can be contacted via phone (860) 983-8112, or through Powell, Keisha via phone (860) 983-8112.

Contact Information

Primary practice address
6 Elizabeth Ln Vernon CT 06066-5056
Phone: (860) 983-8112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Powell, Keisha SPED/CASD
Phone: (860) 983-8112

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 11211741 Connecticut
Managed Care Organizations / Point of Service 305S00000X 3928518916 Connecticut

Profile Details

NPI number 1245578475
LBN Legal business name Petalu'Da Autism Services Llc
DBA Doing business as
Authorized official Powell, Keisha SPED/CASD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2013
Last updated Nov 8th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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