| NPI | 1851414486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MATHIS Chief Executive Officer 203-851-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT SA0175) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |