NPI | 1043410954 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER PULSE CFO 860-856-7963 |
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 | 2025-07-10 |