| NPI | 1619219219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEE ANDERSON Nurse Manager 860-545-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CT 004683) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |