| NPI | 1689949323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BIAGIA MCWEENEY Owner 860-307-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002129) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2024-02-21 |