| NPI | 1992073928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN HARTT Clinical Director 860-233-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001459) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |