| NPI | 1700893807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY NICOLE PENDOLA COO 203-336-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CT SA-0188) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT C-0266) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-07-08 |