| NPI | 1548000532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRIANA VASSEL CEO 860-993-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2026-05-29 |