| NPI | 1366773525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN G WILLIAMS Primary Therapist 860-456-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CT 000621) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2020-01-17 |