| NPI | 1326336199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI L CRANFORD BAKER Owner 860-677-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 003031) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |