| NPI | 1174644926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F BOYD Executive Director 860-567-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: CT SA0189) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-06-30 |