| NPI | 1669748414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LAWLOR Clinician 203-848-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2022-07-21 |