| NPI | 1154500692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD S. BIALOS President 203-245-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 013127) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |