| NPI | 1700417441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MICHELLE TYSON Owner 203-908-8978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2024-04-02 |