| NPI | 1649571456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN H SPENCER Vice President 860-343-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0383) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0458) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0472) | |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |