| NPI | 1003191321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAUNE ALEXANDRIA KEMP Director 860-266-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001181) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |