Individual
CAROL CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 ELMWOOD WAY, CLINTON, CT 06413-1508
(203) 339-1191
Mailing address
23 ELMWOOD WAY, CLINTON, CT 06413-1508
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
00609
CT
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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