NPI | 1134399116 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL HANSON Clinical Director 860-521-8035 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT OPCC 54) |
Enumeration Date | 2008-03-06 |
Last Update Date | 2008-03-06 |