| NPI | 1881126100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL LISA REILING Social Worker 203-702-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 004822) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |