| NPI | 1982155859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN M MADDEN President/Chief Executive Officer 203-781-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CT 0515) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CT 0515) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-02-08 |