| NPI | 1841379013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STECK Executive Director 203-756-7287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT OPCC-11) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2016-08-23 |