| NPI | 1770721011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE FRANCES MUSE-MCGEE Owner 203-334-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001780) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CT 000786) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |