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 |