| NPI | 1851258776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTAL DICKUN Owner, CEO 860-204-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-03-23 |