| NPI | 1689176968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA A BROWN Manager 860-752-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 008235) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2023-06-28 |