| NPI | 1295182566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FIELD Owner 860-266-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 003428) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-10-25 |