| NPI | 1104184670 |
|---|---|
| Doing Business As | RESIDENTIAL SERVICES DIVISION |
| Entity Type | Organization |
| Authorized Contact | LYNN M MADDEN President, CEO 203-781-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2019-07-05 |