| NPI | 1083341358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNALISA WALTON-BOGEL Chief Executive Officer 860-984-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |