| NPI | 1407395957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE MIDDLETON Owner/Operator 860-325-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003083) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |