| NPI | 1215759402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA L SMITH Executive Director 860-962-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |