NPI | 1558407841 |
---|---|
Doing Business As | WYNNEWOOD |
Entity Type | Organization |
Authorized Contact | ROBERTA MURTAGH Executive Director 203-756-8984 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CT CR0009) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |