| NPI | 1124365804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA C ZEPPIERI Owner/Manager 860-840-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 000566) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2014-05-01 |