| NPI | 1346397031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SUCHOCKI Member 860-571-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000739) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 000865) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-09-27 |