| NPI | 1508570821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MONTANEZ Owner 860-245-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2024-07-26 |