| NPI | 1447015698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA L MOTT Owner 860-936-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |