NPI | 1386701779 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA L WELT Acting CEO/Clinical Director 203-324-6127 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT OPCC-4) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2019-07-11 |