| NPI | 1093382350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RANAUDO Owner 203-558-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |