| NPI | 1982711008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M MEYERS President 203-315-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT opcc-49) |
| Additional Taxonomies | 251S00000X (Licence: CT 0pcc-49) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-01-04 |