| NPI | 1023154689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NITTO LEVEILLE Managing Member 860-524-7538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002454) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-12-31 |