| NPI | 1215967427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANNE KENNEDY Executive Assistant 860-697-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-03-22 |