| NPI | 1134851991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS MARRERO Owner 860-992-5569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |