| NPI | 1225837396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE CAVALLO President & CEO 860-826-1358 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-07-02 |