| NPI | 1538300678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A ENNIS Manageing Member 203-869-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |