| NPI | 1821948654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FAGBEMI Managing Member 860-990-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-01-31 |
| Last Update Date | 2026-01-31 |