| NPI | 1801201330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU HOLIDAY Supervisor 203-818-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT 17053333309021) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |