| NPI | 1346360443 |
|---|---|
| Former Legal Business Name | LIBERATIONMERIDIAN GUENSTER |
| Entity Type | Organization |
| Authorized Contact | ALAN MATHIS Chief Executive Officer 203-851-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT 0223) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-06-27 |