| NPI | 1265736276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S GRAHAM CEO 203-757-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 006958) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 006958) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2013-06-17 |