NPI | 1518948025 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL E OSBORNE Executive Director 860-343-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0543) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2019-06-27 |