| NPI | 1982345831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA GRAHAM Licensed Clinical Social Worker 860-222-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-03-05 |