| NPI | 1457900359 |
|---|---|
| Doing Business As | KAREN S. BAKER |
| Entity Type | Organization |
| Authorized Contact | TONYA CASSELL Billing Administrator 860-405-4951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |