| NPI | 1134581481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GENTILE Clinician 203-464-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 008306) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |