| NPI | 1992239040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN M MINHAS Director 203-604-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 54308) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2022-07-21 |