| NPI | 1235575408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN SPENCER VP Human Resources/Risk Management 860-343-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0549) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0457) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |