NPI | 1558366757 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK MEANEY CFO 860-822-4153 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CT C-0271) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 0268) |
101YP2500X Counselor Professional (Licence: CT C-0271) | |
103TC0700X Psychologist Clinical (Licence: CT C-0271) | |
104100000X Social Worker (Licence: CT C-0271) | |
106H00000X Marriage & Family Therapist (Licence: CT C-0271) | |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT C-0271) | |
261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
101Y00000X Counselor (Licence: CT C-0271) | |
Enumeration Date | 2005-06-15 |
Last Update Date | 2025-05-13 |