| NPI | 1285092197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MARIE KIJEWSKI Owner 203-206-3378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001159) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |