| NPI | 1861730269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS REILLY Member 203-435-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000951) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-02-18 |