| NPI | 1073565198 |
|---|---|
| Former Legal Business Name | GERIATRIC MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | DANA KRISCENSKI Administrative Assistant 1860-677-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 002211) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-08-08 |