NPI | 1326246687 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERTA MURTAGH Executive Director 203-756-8984 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0536) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 0536) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2014-12-23 |