| NPI | 1891469508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE LINDSAY CHARTIER Alcohol And Drug Counselor 860-227-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |