| NPI | 1033206511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MURADIAN Executive Director 860-826-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: CT 0364) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CT 0339) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |