NPI | 1265672125 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN M WALSH Owner, Member 203-500-9590 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 3150) |
Enumeration Date | 2009-03-04 |
Last Update Date | 2009-03-04 |