| NPI | 1154043800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMIN PEREZ-MADDELENA Mental Health Clinician 860-415-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-10-07 |