| 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 |