| NPI | 1841536869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD MARCIL Director 203-596-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001023) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |