NPI | 1467765263 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTI R. CRAIG Lcsw/Mangaer 860-430-5090 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 007310) |
Enumeration Date | 2010-07-21 |
Last Update Date | 2014-02-24 |