| NPI | 1336205905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M MADDEN Chief Executive Officer 203-781-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-07-05 |