| NPI | 1356691901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI GARVIN Clinical Psychologist 860-659-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001617) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |