NPI 1245372754

Amy Jo Podgorski

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Plainville, CT

Practice location

Address: 91 Northwest Dr, Plainville, CT 06062-1534
Phone: (860) 793-3849
Mailing address: 2 Woodside Dr, Unionville, CT 06085-1549

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 065 (CT)

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

Registry record

NPI: 1245372754
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2007
Record last updated: 8 Jul 2007

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.