| NPI | 1033366240 |
|---|---|
| Other Name | STAYWELL HEALTH CARE INC/G.W. MENTAL/AUTH |
| Entity Type | Organization |
| Authorized Contact | DONALD THOMPSON President 203-756-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2020-01-09 |