| NPI | 1043455066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HRBEK Director 203-227-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT OPCC-46) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2018-10-31 |