| NPI | 1679934772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY GIFFORD Clinical Program Director/Owner 860-896-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |