NPI | 1558699256 |
---|---|
Entity Type | Organization |
Authorized Contact | IAN RICHARD CAMERON President 860-657-3602 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 011816) |
Enumeration Date | 2009-11-18 |
Last Update Date | 2009-11-18 |