| 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 |