| 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 Psychiatric/Mental Health (Licence: CT 0536) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-12-23 |