| NPI | 1245430891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL GAINES Vice President Of Administration 860-895-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT C-0109) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-04-20 |