| NPI | 1245711415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DONOHUE-OLIVIERI Owner 203-401-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001060) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |