| NPI | 1669944724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG GILLAM Director Of Operations 203-816-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2020-09-08 |