| NPI | 1508907288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BAXTER Chief Financial And Admin Officer 860-443-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-08-23 |