| NPI | 1982349320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESHAE RICE Owner 203-908-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2023-01-19 |