| NPI | 1912606526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER REID Owner/Operator 860-960-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |