NPI | 1669466355 |
---|---|
Entity Type | Organization |
Authorized Contact | ED FERACO President / CEO 860-922-4280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2020-08-22 |