| NPI | 1497142756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLANTA MARYANSKA Owner 203-376-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001692) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |