| NPI | 1124562210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE NOWAK Manager 860-877-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 1638) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |