| NPI | 1467916197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA LOGAN Chief Clinical Officer 203-338-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2025-07-08 |