| NPI | 1902488950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LAPRADE Owner 860-481-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |