| NPI | 1568835015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA PORTEUS Executive Director 203-756-8317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 0595) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |