| NPI | 1174624423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND J GORMAN President & CEO 860-826-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT C-0281) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0232) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0301) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0043) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0275) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CT RLC-0038) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0368) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT C-0212) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0276) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-02-20 |