| NPI | 1215188826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN PATSTON COO 203-336-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT PENDING) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT PENDING) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2022-06-30 |