| NPI | 1225487325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN E SMYTHE Senior Clinician 860-990-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002358) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |