| NPI | 1639350663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDA ARACELY MENDIETA M.S./Clinician 203-273-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |