| NPI | 1386361186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRIL A PILE Director 203-923-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |