| NPI | 1861767402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY P FUSCO Treatment Coordinator 203-362-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CT 001418) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |