| NPI | 1558137349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA JOY B-MULLINGS Owner 860-324-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-18 |