NPI | 1104942481 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD BILANGI Executive Director President 203-743-4698 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CT SA0200) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-08-22 |