NPI | 1235794876 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA COLLEEN HARTNEY Authorized Official 860-559-7003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-05-09 |