| NPI | 1255849725 |
|---|---|
| Doing Business As | RELEASE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ANDREA L LOVELL Owner Counselor/Therapist 860-937-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2883) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CT 2883) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT 2883) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT 2883) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: CT 2883) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |