NPI | 1457592560 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL FASANO CEO/President 860-643-2701 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2009-03-19 |
Last Update Date | 2009-03-19 |