| NPI | 1194051789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO MARTINEZ Director 860-527-1124 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |