| NPI | 1073992095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA COUTANT SKINNER Executive Director 860-496-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0489) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2016-10-27 |