| NPI | 1801214986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAR DRAUGHN Clinical Director 860-680-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002311) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-06-19 |