| NPI | 1669542379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA RODRIGUEZ CEO 860-560-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 000172) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CT 000827) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-26 |