| NPI | 1528435047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL GINEO Therapist 860-637-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002799) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |