| NPI | 1265983191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BANASIEWICZ Owner/Member 860-395-9857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 3023) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2016-10-15 |