| NPI | 1558886226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINGOS DIAS CEO 203-362-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |