| 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 |