| NPI | 1265477780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION BEALE Chief Financial Officer 203-517-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2025-09-02 |