| NPI | 1215391008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A BELLAMY Officer 203-901-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 008292) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |