| NPI | 1477085348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANDA HERNANDEZ-RIVERA Co Owner/Psychologist 860-623-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10062) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-07-03 |