| NPI | 1043937113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE SCHLICHTING Chief Psychologist 860-946-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261Q00000X Clinic/Center | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2025-09-24 |