| NPI | 1467705715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE D LEIBY Treasurer & CFO 860-769-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 2271) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2025-03-20 |