| NPI | 1922132083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G FARRALES President, CEO 203-562-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CT RLC-0013) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-10-01 |