| NPI | 1215306006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE DAILEY Provider 860-463-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-23 |