| NPI | 1609665520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZARIA DRAKEFORD CEO 860-682-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |