| NPI | 1124417167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL A. MCLEAN Owner/Psychologist 860-578-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002946) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CT 000899) |
| 103TF0200X Psychologist, Forensic (Licence: CT 899) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 8731) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2023-09-06 |