| NPI | 1437104387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAREK K. KUKULKA Executive Director 860-889-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |