| NPI | 1871796383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WOOLSTEN Vice Chairman For Clinical Affairs 203-785-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT 000099999) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |