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Petalu'da Autism Services Llc
Point of Service in Vernon, Connecticut
NPI 1245578475

Petalu'da Autism Services Llc is a Point of Service based in Vernon, CT. Petalu'da Autism Services Llc practices in Vernon, CT. The NPI Number for Petalu'da Autism Services Llc is 1245578475 and holds a License No. 11211741 (Connecticut).

The current practice location address for Petalu'da Autism Services Llc is 6 Elizabeth Ln, Vernon, CT and can be reached out via phone at 860-983-8112.

Location: 6 Elizabeth Ln, Vernon, CT, 06066-5056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245578475
Provider Name
Petalu'da Autism Services Llc
Credential
Provider Entity Type
Organization
Address
6 Elizabeth Ln, Vernon, CT, 06066-5056
Phone Number
860-983-8112
Fax Number
Provider Enumeration Date
01/23/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
6 Elizabeth Ln
City
Vernon
State
Connecticut
Zip
06066-5056
Phone Number
860-983-8112
Fax Number
person
Provider Business Mailing Address Details
Address
6 Elizabeth Ln
City
Vernon
State
Connecticut
Zip
06066-5056
Phone Number
860-983-8112
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
3928518916 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
11211741 (Connecticut)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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