| NPI | 1245300433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A PAGE Executive Director 203-776-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT C-0154) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-04-01 |