| NPI | 1881980050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS L. STONE Member 203-668-9367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 006741) |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2011-11-18 |