| NPI | 1295256840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA CHARMAINE MCCROREY Licensed Professional Counselor 860-556-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |