| NPI | 1871505545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA J PORTEUS Executive Director 203-756-8317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |