| NPI | 1043937113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE SCHLICHTING Chief Psychologist 860-946-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |