| NPI | 1558746016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M SMITH Licensed Marriage And Family Therap 860-705-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 001733) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |