| NPI | 1538536776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE BRANCIFORTE Ar Contract Manager 860-741-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002735) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |