| NPI | 1710796743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMIN JOHNSON Owner 203-679-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-05-07 |