| NPI | 1063198117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAHN Business Owner 860-830-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |