NPI | 1376757872 |
---|---|
Entity Type | Organization |
Authorized Contact | STUART GREENBAUM Executive Director 203-299-1315 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT OPCC-3) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CT EDT-14) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |