NPI | 1619399409 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL MCKINNEY President/CEO 203-917-3695 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000929) |
Enumeration Date | 2014-01-13 |
Last Update Date | 2014-01-13 |