| NPI | 1144426545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A WILL Owner 860-429-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1022913) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |