| NPI | 1942578778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK LANG Owner 860-886-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 1875) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2015-10-13 |