| NPI | 1518085158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHAMPION Administrative Director 203-776-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CT 0044) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |