| NPI | 1992097216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY A. KARKUT Executive Director 203-849-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 0250) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CT 0209) |
| 251S00000X Community/Behavioral Health (Licence: CT 0315) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |