| NPI | 1083067672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J GRIFFIN Owner 857-636-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002865) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |