| NPI | 1235897356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA ROSE Owner 860-995-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |