| NPI | 1467899476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R WARD Owner 860-889-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-09-08 |