| NPI | 1821378597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL DICKEY Founder 203-625-8242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CT 2239) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |