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 |