| NPI | 1760963755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANETA PORCZAK Psychiatric Clinician 860-255-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 1936) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-11-06 |