| NPI | 1811636574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GILLAND Owner 860-351-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-11-30 |