| NPI | 1033527312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS G FOROUHAR-GRAFF Director 860-748-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 051198) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |