NPI | 1043410954 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT L. MERCADO CFO 860-529-1970 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CT RLC-0028) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2007-07-19 |