| NPI | 1659863173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROBINSON President 203-710-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 24571) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |