NPI | 1245561463 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK S. BRAUNSDORF President 860-558-1317 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CT 1739) |
Enumeration Date | 2010-01-28 |
Last Update Date | 2016-01-07 |