| NPI | 1295041739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON COLWELL Ap RN 203-257-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 002422) |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2010-08-22 |