| NPI | 1366798118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA R FAY Owner 203-506-0789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 006907) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |