| NPI | 1265706162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNA G RICH Therapist 860-402-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 000906) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000906) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-06-18 |