| NPI | 1407083843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A. ASMAR Owner 860-324-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 006147) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |