| NPI | 1053168682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARNELLE BRANYON Owner 203-503-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-07 |