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