| NPI | 1053501684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEFERINA SANJURJO Case Manager/Billing 203-336-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CT 6549042-000) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |