| NPI | 1407487804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIT BOBMAN Licensed Professional Counselor 860-212-0895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |