| NPI | 1174868442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINIAN B RWEYEMAMU President & CEO 860-508-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| 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 |