| NPI | 1306262894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNAMARIE RIVERA Owner 203-909-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000963) |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2014-04-09 |