| NPI | 1467233585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI UNIQUE MARTINEZ Licensed Marriage And Family Therap 860-209-9749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |