NPI | 1235788407 |
---|---|
Doing Business As | SOLTERRA ACADEMY |
Entity Type | Organization |
Authorized Contact | GWEN KILLHEFFER Principal And Chief Administrator 860-612-2312 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2019-09-10 |
Last Update Date | 2019-09-10 |