ANTHONY AUGUSTINE

OLD SAYBROOK, CT
NPI1144556218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT  000884)
Enumeration Date2009-10-26
Last Update Date2009-10-26
Business Address
ANTHONY AUGUSTINE LADC
841 MIDDLESEX TPKE
OLD SAYBROOK, CT 06475-1317
Phone number: 860-395-0111
Mailing Address
ANTHONY AUGUSTINE LADC
841 MIDDLESEX TPKE
OLD SAYBROOK, CT 06475-1317
Phone number: 860-395-0111