| NPI | 1265792030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEFFER E DEL VALLE Clinical Therapist 860-585-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 002068) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |