| NPI | 1689166910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HOON Licensed Clinical Social Worker 860-559-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 004271) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2025-02-26 |