| NPI | 1043949472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M TUFF Owner/Operator 860-262-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |