| NPI | 1710186911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BORZELLINA Executive Director 860-225-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA0006) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CT SA0006) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2013-02-07 |