| NPI | 1477118214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA R HELLER Owner 860-248-9857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |