| NPI | 1003145582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY MELLEY Primary Therapist 860-963-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT 001670) |
| Enumeration Date | 2009-12-13 |
| Last Update Date | 2009-12-13 |