| NPI | 1962651752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA C WEBBER Owner 860-550-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 000591) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2025-01-14 |