| NPI | 1669970125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WILLIAMSON Director Of Billing 860-362-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2022-03-25 |