| NPI | 1114724606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUISA ELENA HERNANDEZ ABREU Member 860-518-8951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |