NPI | 1013379767 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY AMBROISE Owner/Manager 203-952-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002893) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |