| NPI | 1700315751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JOYCE CORCORAN Ap RN 203-431-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 005855) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |