| NPI | 1952671547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE C SCOTT Director 860-325-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT 2996) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |