| NPI | 1386121515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA MCCROREY Licensed Professional Counselor 860-969-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002709) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |