| NPI | 1306381447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID POWERS Director 860-430-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002929) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |