| NPI | 1104402148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BRUCKENTHAL Social Worker 203-302-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2022-09-02 |