| NPI | 1205564937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH J WARD-WATSON Owner 203-650-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |