NPI | 1487765228 |
---|---|
Entity Type | Organization |
Authorized Contact | EVA FRANCIS SALZER Co Director 860-659-3553 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT CT000486) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT CT000140) |
2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT CT027887) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-06-05 |