| NPI | 1194128603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANETA J GALEK Owner 860-805-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002538) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001022) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |