| NPI | 1174931539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCCO R TRICARICO Executive Director 860-225-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 251T00000X PACE Provider Organization | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |