| NPI | 1225441256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEE JOHNSON Clinician 860-416-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |