| NPI | 1326342858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAM MARTINEZ Owner 860-372-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 1997) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CT 1820) |
| 1041C0700X Social Worker, Clinical (Licence: CT 7260) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 4480) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 3634) | |
| 363L00000X Nurse Practitioner (Licence: CT 3809) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 7279) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 5985) | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2014-04-14 |