| NPI | 1164808226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULA LIN-OI CHOCK-HARRIS Clinician/Owner 860-951-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CT 004791) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |