| NPI | 1184093270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE WISEMAN President 203-891-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CT 2024) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |