NPI | 1215393327 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA BAXTER Chief Financial And Admin Officer 860-443-2896 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0586) |
Enumeration Date | 2016-01-05 |
Last Update Date | 2019-06-20 |