| NPI | 1346722485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODYAN GAYNOR Owner 860-818-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003029) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |