| NPI | 1215534953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DUNKO Licensed Professional Counselor 860-341-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |