| NPI | 1851350300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FIORILLO President And CEO 203-878-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0316) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0313) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0314) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT C0034) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2022-02-08 |