| NPI | 1457015331 |
|---|---|
| Doing Business As | MOUNTAINSIDE - CHELSEA |
| Entity Type | Organization |
| Authorized Contact | MICHELLE WILLIAMSON Director 860-362-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2022-03-25 |