| NPI | 1295839900 |
|---|---|
| Other Name | OPIOID TREATMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | KISHORCHANDRA R GONSAI Physician/Psychatrymedical Director 203-932-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CT 036772) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |