| NPI | 1831887793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE DOBSON CEO 203-526-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |