| NPI | 1437506656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CHARVIS Owner 860-893-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 002245) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2023-03-14 |