| NPI | 1770726952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE ROBLES Director Of Operations 860-727-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 006994) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |