| NPI | 1003612292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE BESEK Licensed Alcohol And Drug Counselor 203-848-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |