| NPI | 1821867607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA FORGIONE Office Mgr 203-848-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |