| NPI | 1912772021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT STREETER CEO 860-331-0421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |