| NPI | 1679370753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORNETT MCINTOSH Owner 860-680-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-04-26 |