| NPI | 1427728997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SHERRICK Owner 203-257-9736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |