| NPI | 1154199271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALE TEODORO Sole Managing Member 860-578-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-19 |