| NPI | 1932630928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVIN R JENNINGS Executive And Medical Director 203-748-5689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |