| 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 |