| NPI | 1255735577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY KINIRY Executive Director 203-336-9263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |