| NPI | 1265743512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JON SOMMERFIELD Owner 860-329-5239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001716) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |