| NPI | 1992680219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA OBER CEO 860-208-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |