| NPI | 1821597386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE S SEARIGHT CFO 860-788-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2019-08-12 |