| NPI | 1013053966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM CARRION-HAWKINS Counselor 860-527-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 0501481331) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |