| NPI | 1922291319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PAGE Executive Director 203-776-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 005398) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |