| NPI | 1700173739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONT MAURICE BELLE Owner 203-745-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 772) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 2112) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2012-07-02 |