NPI | 1841569639 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA M QUICK Clinician 860-714-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 007823) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2011-12-22 |