| NPI | 1205177433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE J KELLEY Counselor/Owner 860-919-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002105) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-23 |