| NPI | 1407190432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA L ALEGRE Owner 860-478-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 000718) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000718) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-02-06 |