| NPI | 1487162178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALISSA NICOLE WELCH Clinical Director/Owner 860-778-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2023-09-28 |