| NPI | 1134245350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM POWERS Chief Compliance Officer 860-550-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 0312) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-04-30 |