NPI | 1609547298 |
---|---|
Entity Type | Organization |
Authorized Contact | GENT DANIELS Clinician 203-606-7837 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-09-23 |
Last Update Date | 2021-09-23 |