NPI | 1841027653 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA KING Director 860-322-6712 |
Organization Subpart ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
207Q00000X Family Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2024-09-16 |
Last Update Date | 2024-09-16 |