| NPI | 1366957284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFE LAWLOR Owner 203-628-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 005796) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |