| NPI | 1275346223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KING Director Of Contracting & Credentia 860-322-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |