| NPI | 1205203486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL CAMPBELL Owner 860-984-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001463) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |