| NPI | 1861126799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN SHUTE Owner 860-797-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |