| NPI | 1104521863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ANDREWS CEO/President 860-879-1335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |