| NPI | 1003467580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL N SMOKE-COLLINS Owner 203-433-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |