| NPI | 1114663200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVETTE CORUJO-AIRD Owner/Founder 860-506-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |