NPI | 1639516032 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEESHA DENISE GRIER-ROGERS Manager/Owner 203-654-1367 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 003271) |
Enumeration Date | 2013-05-27 |
Last Update Date | 2013-05-27 |