| NPI | 1871003293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNISSE VAZQUEZ Licensed Drug And Alcohol Counselor 860-902-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000883) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |