| NPI | 1053738641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER JOHNSON Administrator 203-248-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 003563) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CT 003563) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-10-22 |