| NPI | 1548654254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROODY JOSEPH Owner 203-249-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2519) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1114) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |