| NPI | 1114586880 |
|---|---|
| Former Legal Business Name | SOLACE PSYCHOTHERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | REBECCA D ADDA Manager 860-920-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2021-10-06 |