| NPI | 1184794257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MCLAUGHLIN Executive Director 860-525-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CT SA-0037) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CT SA-0037) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |