NPI | 1811195811 |
---|---|
Entity Type | Organization |
Authorized Contact | RAUL GONZALEZ Executive Director 860-728-5199 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA-0118) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2007-07-11 |