| NPI | 1063908101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO CARLOS FLORES Director 860-709-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 3477) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |