| NPI | 1962103788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK ASHCROFT Vice President 203-640-0091 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |