| NPI | 1952549016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE LOGAN Addiction Therapist 203-479-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |