| NPI | 1629921192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONALISA Y BENTLEY MITCHELL Owner 860-800-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |