| NPI | 1174607535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MURADIAN Executive Director 860-826-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |