| NPI | 1093239683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT DIBATTISTA President 860-972-9168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2023-03-27 |