| NPI | 1457140550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARRIS Owner 860-752-4996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |