| NPI | 1316386428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO J COLON MUNROE President 203-363-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 003982) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |