| NPI | 1689562761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LEE Owner 203-779-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |