| NPI | 1780919951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBENEZER A KOLADE Executive Director 203-562-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CT 0381) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone (Licence: CT 0381) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2021-04-05 |