NPI | 1821737016 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH WARD-WATSON Owner 203-650-2970 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-06-03 |
Last Update Date | 2022-06-03 |