| NPI | 1700734274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANAE PERRY-TANKSLEY Licensed Clinical Social Worker 860-761-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-03-19 |