| NPI | 1245729714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA NGUYEN Member 860-379-4639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: CT 002940) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |