| NPI | 1548558232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAM MARTINEZ Owner 860-904-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 001997) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |