| NPI | 1700244266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CORDIER Co Director 203-883-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 000411) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 000323) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2017-03-21 |