| NPI | 1154387652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY M BOHAN Practice Manager 203-776-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CT C-0174) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2013-01-08 |