| NPI | 1982037602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA STEWART Chief Executive Officer 203-778-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CT 0520) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2022-01-26 |