NPI | 1205374907 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY PINNER Member 860-917-0923 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 1-14-10399) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |