NPI | 1073548533 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY L BEAUREGARD CEO & President 860-569-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 702) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT C0178) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2022-07-21 |