| NPI | 1376803239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J WATERS President 860-528-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT SA-0149) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |