| NPI | 1467967752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY CHEVALIER Owner/Director 203-881-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 007748) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |