| NPI | 1639508070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M. LOCKSHIER Lcsw 203-400-1302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 008128) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |