| NPI | 1194904854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA LAWALL Team Leader 203-389-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 004528) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |