| NPI | 1144995184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANANKIA ANDREA THOMAS Owner 860-287-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2022-02-23 |