| NPI | 1356335798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY MCGOVERN Associate Executive Director 203-956-7816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CT 0RLC0016) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CT 0RLC0022) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2013-01-02 |