| NPI | 1114383627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA SHARMAINE RHINEHART Owner 1203-558-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001095) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |