NPI | 1023711058 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSIDY M OLIO Owner 860-259-7735 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2023-03-27 |