| NPI | 1164006219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KAUFMAN Executive Director 203-824-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-29 |