Children of the Wilderness Outreach
NPI #1659542751 in West Haven, Connecticut
Provider Information
- NPI Number
- 1659542751
- Entity Type
- Organization
- Organization Name
- Children of the Wilderness Outreach
- Primary Specialty
- Religious Nonmedical Health Care Institution
- Enumeration Date
- Mar 17, 2008
- Last Updated
- Oct 22, 2009
Practice Location
- Address
- 71 NORFOLK STREET
- City
- West Haven
- State
- Connecticut
- ZIP Code
- 06516
- Phone
- (203) 479-5821
Authorized Official
- Name
- JILL R LEWIS-TILLMAN
- Title
- CO FOUNDER
- Phone
- (203) 628-8096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Health Care Institution |
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