NPI | 1124344635 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE A LONGTON Owner 860-886-8233 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000769) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007208) |
Enumeration Date | 2010-04-09 |
Last Update Date | 2010-04-09 |