| NPI | 1497025035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PETER VIEAU CEO/President 203-937-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CT 0425) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: CT 0509) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2022-08-08 |