NPI 1871101733

New Canaan Group Home INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility New Canaan, CT

Practice location

Address: 162 South Ave, New Canaan, CT 06840-5728
Phone: (203) 846-9581
Fax: (203) 847-0545

Authorised official

Name: Katie J Banzhaf
Title: Executive Director
Phone: (203) 846-9581

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Connecticut →

Registry record

NPI: 1871101733
Entity type: Organization
NPI issued: 16 Jul 2020
Record last updated: 16 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.