NPI | 1871714501 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN HAMILTON Chief Executive Officer 203-929-1954 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CT 0237) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CT 0237) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2013-06-25 |