| NPI | 1801834890 |
|---|---|
| Former Legal Business Name | PATH OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | LAURA KIDA Business Manager 860-714-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 1041C0700X Social Worker, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-01-28 |