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 |