| NPI | 1568530319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN GERWIEN Chief Administrative Officer 860-450-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-07-26 |