| NPI | 1154475184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY NEWMAN Chief Executive Officer 203-266-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CT CCF RT 26) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-11-13 |