| NPI | 1063021228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEQUILLA CARTER Executive Director 860-458-4759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2024-10-29 |