| NPI | 1912229709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE RYAN HANLON Director 860-713-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 001841) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |