| NPI | 1366174906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WALSH Clinical Social Worker 860-272-1026 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-07-11 |