NPI | 1528423134 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY K ROY Business Manager 860-559-5010 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9526) |
Enumeration Date | 2015-12-24 |
Last Update Date | 2025-08-07 |