| NPI | 1851767933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC BONO Owner/Partner 203-245-0412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CT 2824) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2020-11-30 |