| NPI | 1407398530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE ST PIERRE Owner 860-380-0293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 940) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |