| NPI | 1396239208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GRAZIA Co Owner 203-671-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ME LC15872) |
| Additional Taxonomies | 251B00000X Case Management (Licence: ME LC15872) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: ME LC15872) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |