| NPI | 1336485812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA KULPA Director 860-745-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001570) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |