| NPI | 1043108517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN NICOLL MACAULEY Owner 860-334-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |