| NPI | 1750650255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS E VELOTTI Counselor Iii 203-792-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CT SA-0215) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |