| NPI | 1326550104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAJAVON DAVIS-PHILLIPS Co Owner 860-759-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001891) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2023-01-26 |