| NPI | 1982027447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA IWONA HERASIMOWICZ Owner 860-977-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000946) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-15 |