| NPI | 1194130112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA GARNETT Chief Executive Officer 860-883-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000695) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2014-06-28 |