| NPI | 1619639614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIKA FOSTER Owner&Operator 860-672-5893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2022-02-07 |