| NPI | 1386701779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA L WELT Acting CEO/Clinical Director 203-324-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| 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 |