NPI | 1912489626 |
---|---|
Entity Type | Organization |
Authorized Contact | SONIA MYSHRALL Owner 860-830-0307 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1141) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2018-08-30 |