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 |