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 |