| NPI | 1083018543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANNE ROSINA LYNCH Owner/Therapist 860-856-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 007795) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2016-05-19 |