| NPI | 1457128324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BEGIN Licensed Professional Counselor 860-968-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |