| NPI | 1730202516 |
|---|---|
| Other Name | MTA 12-14 WESTON |
| Entity Type | Organization |
| Authorized Contact | PAUL MCLAUGHLIN Executive Director 860-525-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CT SA-0036) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |