| NPI | 1497135602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAA A OPOKU-GYAMFI Owner 860-805-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 2432) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |