| NPI | 1295811321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL V MALONEY CFO 860-456-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CT H0003) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT H0003) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-04-10 |