| NPI | 1427563550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN SADIGHI Owner 475-223-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 003037) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |