| NPI | 1871970038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMAS GRATTON Owner 203-245-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 000322) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |