| NPI | 1073916490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ANNE GILBERT Owner 860-222-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 007890) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |