| NPI | 1205694759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN TUCKER Director And Lead Clinician 860-933-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 221700000X Art Therapist | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |