| NPI | 1033919295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN EVANS CEO 860-960-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 163WC0400X Registered Nurse Case Management | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-25 |