| NPI | 1982813713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BABER Vice President CFO 203-238-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-08-01 |