| NPI | 1598764474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E. FUTSCHIK President 203-753-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: CT 0390) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 0471) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 0390) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2023-10-02 |