| NPI | 1417317421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CONNELLY Operations Manager 203-260-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300634AP) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |