NPI | 1962926576 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA BAXTER Chief Financial And Admin Officer 860-443-2896 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT 0138) |
Enumeration Date | 2017-07-26 |
Last Update Date | 2019-06-20 |