| NPI | 1275959769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BRENTON Clinician/Manager 860-965-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000964) |
| 101YP2500X Counselor, Professional (Licence: CT 002338) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 001475) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 6217) | |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2015-04-02 |