| NPI | 1700352721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN E PATSTON COO 203-336-5225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-12-02 |