| NPI | 1265261424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS V DIGIOIA CEO 860-919-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-07-15 |