| NPI | 1558227389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY YOUNG Manager 203-570-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-12-23 |
| Last Update Date | 2026-01-17 |