| NPI | 1396734109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ANN MEANEY President 860-585-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2023-10-10 |