| NPI | 1043682818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LUCILLE EVANS KNIGHT Owner 203-722-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001731) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |