| NPI | 1962717447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HARTMANN President 203-676-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 004348) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |