| NPI | 1316222342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL COVELLO Owner 860-882-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001465) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |