NPI | 1013107432 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWIN RIVERA-PACHECO Executive Director 860-232-7353 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA0129) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2007-08-01 |