Elegant Clinical Corporation

Organization Active NPI Developmentally Disabled Services Day Training Agency · East Windsor, CT

NPI 1780190272 · NPPES record last updated Dec 19, 2017

Key facts

NPI
1780190272
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
ELEGANT CLINICAL CORPORATION
Practice address
170 North Rd
East Windsor, CT 06088-9678
Phone
(860) 413-9509
NPI assigned
Dec 19, 2017
Organization subpart
No

Authorized official

Name
Karen Kora Gaston, ED.D.
Title
Ceo
Phone
(860) 758-4098

National Provider Directory

Locations

170 North Rd
East Windsor, CT 06088
Phone (860) 413-9509

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes
Day Training/Habilitation Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
373H00000X

Addresses

Primary practice location

170 North Rd
East Windsor, CT 06088-9678

Mailing address

170 North Rd
East Windsor, CT 06088-9678

Other providers in East Windsor, CT

All providers in East Windsor, CT · Developmentally Disabled Services Day Training Agency in Connecticut

Sources for this page

Verify at the official NPI Registry.