| NPI | 1891716627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WARREN SUMMERVILLE Partner 203-287-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 589570) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-11-28 |