| NPI | 1336179480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA WHEELER Office Manager 860-872-9825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0466) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-06-20 |