| NPI | 1386350361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DEGNAN Owner 860-333-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |