| NPI | 1871979567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA S. RESHARD Owner 203-928-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 1142) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2018-08-16 |