| NPI | 1063860229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN H WHITE Psychologist 860-794-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: ME PS1472) |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2016-05-28 |