| NPI | 1396289344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI MENDEZ Authorized Official 860-685-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002560) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001390) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |