| NPI | 1346095007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ROBERTA COOPER Licensed Professional Counselor 860-638-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |