| NPI | 1639570690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MADDEN WINSLOW Owner 860-287-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 000676) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 000838) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |