| NPI | 1083883177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WILLIAMSON Sr Director Of Revenue Cycle 860-362-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT sa0187) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2022-10-19 |