| NPI | 1013600451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRINA TRANTALIS Ownder/Clinician 860-430-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |