| NPI | 1558762831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GUERRERA Owner 203-210-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 042713) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |