| NPI | 1043688955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA GUAZZELLI Owner 475-210-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 11314589) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2024-09-27 |