| NPI | 1467751941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE E MALDONADO Owner 860-550-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 1499) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |