NPI | 1497849624 |
---|---|
Entity Type | Organization |
Authorized Contact | MAREK KRZYSTOF KUKULKA CEO 860-728-2566 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2018-02-01 |