| NPI | 1144428145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL GONZALEZ Executive Director 860-728-5199 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA0117) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |