NPI | 1174868442 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTINIAN B RWEYEMAMU President & CEO 860-508-8651 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR1100X Clinic/Center, Research | |
Enumeration Date | 2012-11-28 |
Last Update Date | 2024-01-16 |