| NPI | 1801148507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E STEADY President 860-918-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 002175) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: CT 000966) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2013-05-13 |