| NPI | 1649321696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY NICOLE PENDOLA COO 203-336-5225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA-0056) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-07-08 |