| NPI | 1326693607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M CODY Owner/Manager 203-913-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2025-01-10 |