| NPI | 1043362429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA COUTANT SKINNER Executive Director 860-496-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT C-0245) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA-0127) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT MHDT-0025) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT SA-0031) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-10-27 |