| NPI | 1104335041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT STOKES Directorof Quality Assurance 860-496-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |