| NPI | 1154335909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE M RIVERA Manager Credentialing Verification 860-972-3075 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: CT 0057) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-03-08 |