| NPI | 1184463234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GERBER President And Medical Director 203-801-2230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |