| NPI | 1811937139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART B. LEVINE Clinical Director 203-221-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CT H0005) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT H-0005) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT H-0005) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-12-10 |