| NPI | 1487955548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ANDREW MERCIER Case Manager Ii 860-443-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |