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 |