| NPI | 1114069663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ELLEN DANIELS Owner 860-444-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 021511) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-11-26 |