NPI | 1649335688 |
---|---|
Entity Type | Organization |
Authorized Contact | MAREK K KUKULKA Executive Director 860-889-8346 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2009-10-07 |