| NPI | 1588057657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KELLY Clinical Director 860-324-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |