| NPI | 1912894932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON ROSARIO CEO 860-993-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |