NPI | 1811379662 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER PAUL TOLISANO Owner 860-778-4942 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 2993) |
Enumeration Date | 2015-06-28 |
Last Update Date | 2015-06-28 |