| NPI | 1003230012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROSE KROM Director 860-919-6956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002118) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |