| NPI | 1679957732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA A BOJARSKI Clinician 860-872-9825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 1898) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |