| NPI | 1528241189 |
|---|---|
| Former Legal Business Name | LIBERATION MERIDIAN GUENSTER |
| Entity Type | Organization |
| Authorized Contact | ALAN MATHIS Chief Executive Officer 203-851-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA0174) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |