| NPI | 1235879479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MELONIE HENRY Manager/ Clinician 860-328-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |